| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.20 | $493.48 | $493.48 | |
Aetna
| Professional | $40.64 | $41.20 | $92.30 | |
BCBS
| Professional | $163.92 | $192.85 | $192.85 | |
Cigna
| Facility | $38.35 | $38.35 | $38.35 | |
Cigna
| Professional | $40.65 | $57.53 | $57.53 | |
United
| Professional | $40.65 | $40.65 | $40.65 |