| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.71 | $29.71 | $29.71 | |
Aetna
| Professional | $29.71 | $29.71 | $32.68 | |
BCBS
| Facility | $36.03 | $43.72 | $58.82 | |
BCBS
| Professional | $29.71 | $29.71 | $29.71 | |
Cigna
| Facility | $29.33 | $29.33 | $29.33 | |
Cigna
| Professional | $29.33 | $29.33 | $33.72 | |
United
| Professional | $25.44 | $28.75 | $31.28 |