| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.54 | $33.54 | $33.54 | |
Aetna
| Professional | $19.25 | $33.54 | $33.54 | |
BCBS
| Professional | $59.00 | $59.00 | $59.00 | |
Cigna
| Facility | $30.06 | $30.06 | $30.06 | |
Cigna
| Professional | $21.94 | $30.06 | $40.13 | |
United
| Professional | $15.30 | $20.59 | $40.09 |