| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.07 | $27.07 | $27.07 | |
Aetna
| Professional | $27.07 | $27.07 | $27.07 | |
BCBS
| Facility | $14.78 | $14.78 | $17.73 | |
BCBS
| Professional | $33.84 | $42.00 | $87.00 | |
Cigna
| Facility | $54.43 | $54.43 | $54.43 | |
Cigna
| Professional | $5.31 | $31.39 | $39.24 | |
United
| Professional | $4.97 | $11.37 | $20.03 |