| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.01 | $52.01 | $82.89 | |
Aetna
| Professional | $52.01 | $59.32 | $82.89 | |
BCBS
| Facility | $72.64 | $72.64 | $72.64 | |
BCBS
| Professional | $72.64 | $72.64 | $72.64 | |
Cigna
| Facility | $53.85 | $53.85 | $53.85 | |
Cigna
| Professional | $39.31 | $39.31 | $53.85 | |
United
| Professional | $28.66 | $45.80 | $69.11 |