| 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 | $50.49 | $50.49 | $50.49 | |
BCBS
| Professional | $12.52 | $20.53 | $30.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $55.61 | $55.61 | $55.61 | |
United
| Professional | $34.49 | $34.49 | $34.49 |