| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.44 | $30.44 | $134.00 | |
Aetna
| Professional | $30.44 | $30.44 | $33.47 | |
BCBS
| Facility | $34.02 | $34.02 | $51.03 | |
BCBS
| Professional | $34.02 | $34.02 | $34.70 | |
Cigna
| Facility | $33.42 | $33.42 | $33.42 | |
Cigna
| Professional | $33.42 | $33.42 | $33.42 | |
United
| Professional | $30.23 | $34.74 | $38.43 |