| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.53 | $36.53 | $36.53 | |
Aetna
| Professional | $36.53 | $36.53 | $36.53 | |
BCBS
| Facility | $31.03 | $31.03 | $37.22 | |
BCBS
| Professional | $45.66 | $57.00 | $117.00 | |
Cigna
| Facility | $73.28 | $73.28 | $73.28 | |
Cigna
| Professional | $16.85 | $42.13 | $52.66 | |
United
| Professional | $15.34 | $15.46 | $38.35 |