| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.52 | $52.52 | $52.52 | |
Aetna
| Professional | $24.86 | $52.52 | $52.52 | |
BCBS
| Professional | $43.03 | $43.03 | $43.03 | |
Cigna
| Facility | $36.61 | $36.61 | $72.03 | |
Cigna
| Professional | $26.73 | $36.61 | $63.07 | |
United
| Professional | $18.10 | $27.15 | $40.89 |