| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.86 | $30.86 | $30.86 | |
Aetna
| Professional | $30.86 | $30.86 | $30.86 | |
BCBS
| Facility | $39.34 | $39.34 | $47.21 | |
BCBS
| Professional | $38.58 | $48.00 | $99.00 | |
Cigna
| Facility | $61.41 | $61.41 | $61.41 | |
Cigna
| Professional | $14.12 | $35.52 | $44.40 | |
United
| Professional | $12.96 | $13.25 | $33.51 |