| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.86 | $24.86 | $24.86 | |
Aetna
| Professional | $24.85 | $24.86 | $27.34 | |
BCBS
| Facility | $27.79 | $27.79 | $41.69 | |
BCBS
| Professional | $27.79 | $27.79 | $28.35 | |
Cigna
| Facility | $27.44 | $27.44 | $27.44 | |
Cigna
| Professional | $27.44 | $27.44 | $27.44 | |
United
| Professional | $25.01 | $29.25 | $33.35 |