| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.00 | $8.00 | $8.00 | |
Aetna
| Professional | $8.00 | $8.00 | $8.00 | |
BCBS
| Facility | $23.21 | $23.21 | $105.03 | |
BCBS
| Professional | $4.73 | $5.95 | $7.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $10.84 | $10.84 | $10.84 | |
United
| Professional | $26.19 | $28.69 | $47.50 |