| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.08 | $21.08 | $21.08 | |
Aetna
| Professional | $21.08 | $21.08 | $30.95 | |
BCBS
| Facility | $0.02 | $80.63 | $91.03 | |
BCBS
| Professional | $62.13 | $62.13 | $62.13 | |
Cigna
| Professional | $32.44 | $32.44 | $32.44 | |
United
| Professional | $15.33 | $21.15 | $35.25 |