| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $34.67 | $123.03 | |
Aetna
| Professional | $34.67 | $34.67 | $34.67 | |
BCBS
| Facility | $29.51 | $29.51 | $29.51 | |
BCBS
| Professional | $15.49 | $26.30 | $36.31 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $34.67 | $125.89 | $125.89 | |
United
| Professional | $20.42 | $20.42 | $54.95 |