| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.50 | $47.50 | $47.50 | |
Aetna
| Professional | $36.61 | $36.61 | $57.25 | |
BCBS
| Facility | $63.85 | $63.85 | $63.85 | |
BCBS
| Professional | $63.85 | $63.85 | $63.85 | |
Cigna
| Facility | $46.70 | $46.70 | $85.37 | |
Cigna
| Professional | $34.09 | $34.09 | $46.70 | |
United
| Professional | $29.48 | $32.61 | $36.21 |