| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $19.95 | $33.88 | $34.67 | |
BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
BCBS
| Professional | $21.38 | $21.38 | $21.38 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
United
| Professional | $83.18 | $83.18 | $85.11 |