| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.28 | $206.28 | $206.28 | |
Aetna
| Professional | $50.78 | $50.78 | $53.95 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $53.95 | $53.95 | $53.95 | |
Cigna
| Professional | $53.95 | $53.95 | $53.95 | |
United
| Professional | $52.89 | $52.89 | $106.38 |