| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.30 | $55.30 | $55.30 | |
Aetna
| Professional | $55.47 | $55.47 | $61.02 | |
BCBS
| Professional | $54.16 | $63.72 | $63.72 | |
Cigna
| Facility | $52.33 | $52.33 | $52.33 | |
Cigna
| Professional | $55.47 | $68.03 | $78.50 | |
United
| Professional | $55.47 | $55.47 | $55.47 |