| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.49 | $34.49 | $34.49 | |
Aetna
| Professional | $33.33 | $34.49 | $34.49 | |
BCBS
| Facility | $32.72 | $39.42 | $104.23 | |
BCBS
| Professional | $21.34 | $22.73 | $25.56 | |
Cigna
| Facility | $69.03 | $69.03 | $69.03 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
United
| Professional | $66.45 | $66.45 | $67.30 |