| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.07 | $22.07 | $22.07 | |
Aetna
| Professional | $22.07 | $22.07 | $26.70 | |
BCBS
| Facility | $22.07 | $22.07 | $33.11 | |
BCBS
| Professional | $22.07 | $22.07 | $22.51 | |
Cigna
| Facility | $21.82 | $21.82 | $21.82 | |
Cigna
| Professional | $21.82 | $21.82 | $21.82 | |
United
| Professional | $18.23 | $22.28 | $23.98 |