| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.49 | $28.49 | $28.49 | |
Aetna
| Professional | $16.35 | $28.49 | $28.49 | |
BCBS
| Professional | $122.00 | $122.00 | $122.00 | |
Cigna
| Facility | $54.94 | $54.94 | $54.94 | |
Cigna
| Professional | $40.11 | $54.94 | $54.94 | |
United
| Professional | $12.99 | $18.60 | $34.04 |