| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.56 | $48.56 | $48.56 | |
Aetna
| Professional | $46.85 | $48.56 | $77.13 | |
BCBS
| Facility | $159.72 | $159.72 | $159.72 | |
BCBS
| Professional | $152.78 | $159.72 | $159.72 | |
Cigna
| Facility | $48.56 | $48.56 | $48.56 | |
Cigna
| Professional | $48.56 | $48.56 | $48.56 | |
United
| Professional | $51.42 | $57.13 | $58.84 |