| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.67 | $19.67 | $19.67 | |
Aetna
| Professional | $19.67 | $19.67 | $19.67 | |
BCBS
| Professional | $9.75 | $15.00 | $30.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $14.11 | $14.11 | $14.11 | |
United
| Professional | $32.13 | $32.13 | $32.13 |