| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.13 | $37.13 | $59.17 | |
Aetna
| Professional | $36.83 | $42.35 | $59.17 | |
BCBS
| Facility | $51.34 | $51.34 | $51.34 | |
BCBS
| Professional | $51.34 | $51.34 | $51.34 | |
Cigna
| Facility | $55.83 | $55.83 | $55.83 | |
Cigna
| Professional | $40.76 | $40.76 | $62.13 | |
United
| Professional | $22.04 | $30.82 | $50.93 |