| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.06 | $24.06 | $24.06 | |
Aetna
| Professional | $24.06 | $24.06 | $24.06 | |
BCBS
| Facility | $30.25 | $30.25 | $36.29 | |
BCBS
| Professional | $30.08 | $37.00 | $77.00 | |
Cigna
| Facility | $48.15 | $48.15 | $48.15 | |
Cigna
| Professional | $10.78 | $27.67 | $34.59 | |
United
| Professional | $10.11 | $10.19 | $24.65 |