| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.36 | $37.36 | $37.36 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $35.25 | $47.32 | $47.32 | |
Cigna
| Professional | $47.32 | $47.32 | $47.32 | |
United
| Professional | $0.50 | $9.57 | $49.16 |