| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.96 | $26.96 | $26.96 | |
Aetna
| Professional | $26.96 | $28.53 | $34.95 | |
BCBS
| Facility | $77.27 | $95.12 | $114.87 | |
BCBS
| Professional | $39.72 | $46.73 | $46.73 | |
Cigna
| Professional | $28.69 | $28.69 | $28.69 | |
United
| Professional | $19.78 | $30.12 | $45.12 |