| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.00 | $35.00 | $35.00 | |
Aetna
| Professional | $35.00 | $35.00 | $35.00 | |
BCBS
| Facility | $71.28 | $71.28 | $71.28 | |
BCBS
| Professional | $11.65 | $18.79 | $30.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $38.47 | $38.47 | $38.47 | |
United
| Professional | $42.50 | $45.00 | $72.05 |