| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $20.00 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
BCBS
| Facility | $12.46 | $12.46 | $18.36 | |
BCBS
| Professional | $12.46 | $12.46 | $16.73 | |
Cigna
| Facility | $34.01 | $34.01 | $64.00 | |
Cigna
| Professional | $28.91 | $28.91 | $28.91 | |
United
| Professional | $26.47 | $26.47 | $26.47 |