| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.66 | $59.66 | $59.66 | |
Aetna
| Professional | $98.15 | $98.16 | $98.16 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $96.58 | $96.58 | $96.58 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
United
| Professional | $86.23 | $86.23 | $103.33 |