| 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 | $35.00 | $68.36 | $79.05 | |
BCBS
| Professional | $29.75 | $35.00 | $57.02 | |
Cigna
| Professional | $28.91 | $28.91 | $28.91 | |
United
| Professional | $26.47 | $26.47 | $26.47 |