| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.61 | $19.61 | $19.61 | |
Aetna
| Professional | $19.61 | $19.61 | $19.61 | |
BCBS
| Facility | $8.16 | $8.16 | $9.80 | |
BCBS
| Professional | $24.51 | $30.00 | $63.00 | |
Cigna
| Facility | $39.08 | $39.08 | $39.08 | |
Cigna
| Professional | $10.33 | $22.72 | $28.39 | |
United
| Professional | $8.24 | $9.74 | $23.57 |