| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $407.38 | |
Aetna
| Professional | $19.95 | $33.11 | $41.69 | |
BCBS
| Facility | $48.98 | $48.98 | $67.61 | |
BCBS
| Professional | $38.90 | $38.90 | $58.88 | |
Cigna
| Facility | $28.18 | $56.23 | $81.28 | |
United
| Facility | $38.90 | $38.90 | $43.65 | |
United
| Professional | $18.20 | $26.30 | $43.65 |