| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.73 | $51.31 | $107.67 | |
Aetna
| Professional | $51.31 | $51.31 | $51.31 | |
BCBS
| Facility | $48.74 | $48.74 | $48.74 | |
BCBS
| Professional | $48.74 | $48.74 | $48.74 | |
Cigna
| Facility | $51.31 | $51.31 | $51.31 | |
Cigna
| Professional | $52.50 | $52.50 | $52.50 | |
United
| Professional | $21.55 | $30.79 | $76.97 |