| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $23.99 | |
Aetna
| Professional | $15.85 | $19.95 | $23.99 | |
BCBS
| Facility | $30.20 | $30.20 | $36.31 | |
BCBS
| Professional | $30.20 | $37.15 | $77.62 | |
Cigna
| Facility | $47.86 | $47.86 | $47.86 | |
Cigna
| Professional | $10.72 | $12.02 | $34.67 | |
United
| Facility | $23.99 | $23.99 | $23.99 | |
United
| Professional | $10.00 | $10.47 | $24.55 |