| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $34.67 | $64.57 | |
Aetna
| Professional | $34.67 | $34.67 | $34.67 | |
BCBS
| Facility | $29.51 | $29.51 | $29.51 | |
BCBS
| Professional | $12.30 | $20.42 | $30.20 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $15.85 | $26.92 | $2,238.72 | |
United
| Professional | $22.91 | $22.91 | $54.95 |