| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.42 | $100.44 | $100.44 | |
Aetna
| Professional | $24.34 | $51.42 | $51.42 | |
BCBS
| Professional | $30.00 | $30.00 | $30.00 | |
Cigna
| Facility | $33.22 | $33.22 | $56.71 | |
Cigna
| Professional | $24.25 | $33.22 | $49.66 | |
United
| Professional | $16.85 | $25.27 | $39.00 |