| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.96 | $98.96 | $98.96 | |
Aetna
| Professional | $12.05 | $12.05 | $14.11 | |
BCBS
| Facility | $18.23 | $20.27 | $21.17 | |
BCBS
| Professional | $22.80 | $22.80 | $22.80 | |
Cigna
| Facility | $50.56 | $50.56 | $50.56 | |
Cigna
| Professional | $13.77 | $13.77 | $13.77 | |
United
| Professional | $7.23 | $10.33 | $24.82 |