| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.05 | $20.05 | $20.05 | |
Aetna
| Professional | $20.05 | $20.05 | $20.05 | |
BCBS
| Facility | $34.39 | $34.39 | $41.27 | |
BCBS
| Professional | $25.06 | $31.00 | $64.00 | |
Cigna
| Facility | $39.78 | $39.78 | $39.78 | |
Cigna
| Professional | $12.30 | $23.13 | $48.11 | |
United
| Professional | $8.42 | $11.58 | $28.02 |