| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.36 | $18.36 | $18.36 | |
Aetna
| Professional | $18.36 | $18.36 | $18.36 | |
BCBS
| Facility | $28.14 | $28.14 | $33.77 | |
BCBS
| Professional | $22.95 | $28.00 | $59.00 | |
Cigna
| Facility | $36.99 | $36.99 | $36.99 | |
Cigna
| Professional | $10.02 | $21.06 | $26.33 | |
United
| Professional | $7.71 | $9.48 | $22.94 |