| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.86 | $17.86 | $17.86 | |
Aetna
| Professional | $17.86 | $18.91 | $27.85 | |
BCBS
| Facility | $61.18 | $86.66 | $97.83 | |
BCBS
| Professional | $19.32 | $22.74 | $37.04 | |
Cigna
| Professional | $22.09 | $22.09 | $22.09 | |
United
| Professional | $15.00 | $15.00 | $15.00 |