| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.47 | $63.68 | $174.90 | |
Aetna
| Professional | $53.07 | $55.73 | $63.69 | |
BCBS
| Facility | $40.50 | $40.50 | $40.50 | |
Cigna
| Facility | $45.90 | $45.90 | $58.78 | |
Cigna
| Professional | $45.90 | $45.90 | $45.90 | |
United
| Professional | $50.96 | $53.08 | $67.69 |