| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.71 | $42.71 | $68.06 | |
Aetna
| Professional | $42.71 | $48.71 | $68.06 | |
BCBS
| Facility | $59.06 | $59.06 | $59.06 | |
BCBS
| Professional | $59.06 | $59.06 | $59.06 | |
Cigna
| Facility | $54.54 | $54.54 | $54.54 | |
Cigna
| Professional | $39.81 | $39.81 | $54.54 | |
United
| Professional | $25.35 | $35.45 | $58.59 |