| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $43.65 | |
Aetna
| Professional | $25.12 | $25.12 | $25.12 | |
BCBS
| Facility | $60.26 | $75.86 | $190.55 | |
BCBS
| Professional | $23.99 | $23.99 | $263.03 | |
Cigna
| Facility | $33.11 | $33.11 | $33.11 | |
Cigna
| Professional | $23.99 | $23.99 | $33.11 | |
United
| Facility | $25.12 | $25.12 | $25.12 | |
United
| Professional | $89.13 | $128.82 | $128.82 |