| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.77 | $32.77 | $32.77 | |
Aetna
| Professional | $25.56 | $25.56 | $32.77 | |
BCBS
| Facility | $37.54 | $37.54 | $45.06 | |
BCBS
| Professional | $40.96 | $51.00 | $105.00 | |
Cigna
| Facility | $65.59 | $65.59 | $65.59 | |
Cigna
| Professional | $13.97 | $37.58 | $46.98 | |
United
| Professional | $13.76 | $13.76 | $32.77 |