| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.17 | $40.17 | $40.17 | |
Aetna
| Professional | $40.17 | $40.17 | $40.17 | |
BCBS
| Facility | $17.78 | $17.78 | $21.33 | |
BCBS
| Professional | $50.21 | $62.00 | $129.00 | |
Cigna
| Facility | $80.25 | $80.25 | $80.25 | |
Cigna
| Professional | $6.38 | $46.26 | $57.82 | |
United
| Professional | $5.99 | $16.87 | $29.73 |