| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.38 | $51.38 | $51.38 | |
Aetna
| Professional | $26.10 | $51.38 | $51.38 | |
BCBS
| Professional | $45.49 | $45.49 | $45.49 | |
Cigna
| Facility | $35.97 | $35.97 | $57.56 | |
Cigna
| Professional | $26.26 | $35.97 | $50.40 | |
United
| Professional | $19.14 | $30.49 | $44.25 |