| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.26 | $60.26 | $60.26 | |
Aetna
| Professional | $42.66 | $58.88 | $72.44 | |
BCBS
| Professional | $52.48 | $52.48 | $52.48 | |
Cigna
| Facility | $134.90 | $134.90 | $134.90 | |
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
United
| Facility | $57.54 | $57.54 | $57.54 | |
United
| Professional | $23.44 | $35.48 | $57.54 |