| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.38 | $55.38 | $55.38 | |
Aetna
| Professional | $26.21 | $34.40 | $55.38 | |
BCBS
| Professional | $39.39 | $39.39 | $39.39 | |
Cigna
| Facility | $31.92 | $31.92 | $51.98 | |
Cigna
| Professional | $23.30 | $31.92 | $45.51 | |
United
| Professional | $16.37 | $27.74 | $38.29 |