| 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 | $35.95 | |
BCBS
| Facility | $29.71 | $29.71 | $44.57 | |
BCBS
| Professional | $29.71 | $29.71 | $30.30 | |
Cigna
| Facility | $29.33 | $29.33 | $29.33 | |
Cigna
| Professional | $29.33 | $29.33 | $29.33 | |
United
| Professional | $25.02 | $28.75 | $31.80 |