| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $57.54 | $57.54 | |
Aetna
| Professional | $40.74 | $40.74 | $57.54 | |
BCBS
| Professional | $35.48 | $35.48 | $35.48 | |
Cigna
| Professional | $31.62 | $31.62 | $31.62 | |
United
| Facility | $43.65 | $56.23 | $107.15 | |
United
| Professional | $30.90 | $36.31 | $52.48 |