| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.95 | $24.95 | $24.95 | |
Aetna
| Professional | $24.95 | $24.95 | $24.95 | |
BCBS
| Facility | $27.88 | $27.88 | $41.82 | |
BCBS
| Professional | $27.88 | $27.88 | $28.44 | |
Cigna
| Facility | $27.68 | $27.68 | $27.68 | |
Cigna
| Professional | $27.68 | $27.68 | $27.68 | |
United
| Professional | $26.42 | $29.35 | $36.69 |