| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.91 | $62.91 | $62.91 | |
Aetna
| Professional | $29.78 | $62.91 | $62.91 | |
BCBS
| Professional | $51.92 | $51.92 | $51.92 | |
Cigna
| Facility | $43.58 | $43.58 | $72.88 | |
Cigna
| Professional | $31.81 | $43.58 | $63.82 | |
United
| Facility | $44.00 | $44.00 | $44.00 | |
United
| Professional | $23.20 | $34.79 | $52.42 |