| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.49 | $34.49 | $34.49 | |
Aetna
| Professional | $34.49 | $34.49 | $34.49 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $18.98 | $21.60 | $22.28 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
United
| Professional | $82.90 | $82.90 | $84.60 |