| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $56.23 | $56.23 | |
Aetna
| Professional | $51.29 | $57.54 | $81.28 | |
BCBS
| Facility | $489.78 | $588.84 | $794.33 | |
Cigna
| Facility | $51.29 | $51.29 | $51.29 | |
Cigna
| Professional | $51.29 | $51.29 | $54.95 | |
United
| Facility | $0.15 | $13.80 | $57.54 | |
United
| Professional | $5.01 | $12.59 | $15.85 |