| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.31 | $51.31 | $313.70 | |
Aetna
| Professional | $51.31 | $51.31 | $51.32 | |
BCBS
| Facility | $51.31 | $51.31 | $51.31 | |
BCBS
| Professional | $51.31 | $51.31 | $51.31 | |
Cigna
| Facility | $199.30 | $199.30 | $199.30 | |
Cigna
| Professional | $51.31 | $51.31 | $51.31 | |
United
| Professional | $21.55 | $51.31 | $74.00 |