| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.94 | $20.94 | $20.94 | |
Aetna
| Professional | $20.94 | $20.94 | $20.94 | |
BCBS
| Facility | $32.29 | $32.29 | $38.75 | |
BCBS
| Professional | $26.18 | $32.00 | $67.00 | |
Cigna
| Facility | $41.87 | $41.87 | $41.87 | |
Cigna
| Professional | $11.54 | $24.37 | $30.46 | |
United
| Professional | $8.78 | $10.87 | $26.31 |