| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.40 | $34.40 | $54.85 | |
Aetna
| Professional | $29.55 | $37.65 | $54.85 | |
BCBS
| Facility | $47.58 | $47.58 | $47.58 | |
BCBS
| Professional | $47.58 | $47.58 | $47.58 | |
Cigna
| Facility | $31.92 | $31.92 | $31.92 | |
Cigna
| Professional | $23.30 | $23.30 | $31.92 | |
United
| Professional | $16.37 | $28.56 | $48.44 |