| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.06 | $60.07 | $66.87 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $22.10 | $22.10 | $22.10 | |
Cigna
| Professional | $22.10 | $22.10 | $22.10 | |
United
| Professional | $0.50 | $22.35 | $23.53 |