| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.51 | $172.51 | $172.51 | |
Aetna
| Professional | $53.08 | $53.08 | $55.20 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $47.49 | $47.49 | $47.49 | |
Cigna
| Professional | $47.49 | $47.49 | $47.49 | |
United
| Professional | $53.08 | $53.08 | $55.87 |