| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.67 | $44.62 | $100.65 | |
Aetna
| Professional | $31.67 | $32.69 | $63.01 | |
BCBS
| Facility | $31.67 | $49.16 | $100.69 | |
BCBS
| Professional | $28.47 | $28.47 | $33.50 | |
Cigna
| Facility | $32.76 | $32.76 | $32.76 | |
Cigna
| Professional | $32.76 | $32.76 | $32.76 | |
United
| Professional | $29.26 | $33.06 | $35.11 |