| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $19.95 | |
Aetna
| Professional | $19.95 | $19.95 | $19.95 | |
BCBS
| Facility | $57.54 | $57.54 | $104.71 | |
Cigna
| Professional | $28.84 | $28.84 | $28.84 | |
Medcost
| Facility | $19.95 | $21.38 | $33.88 | |
United
| Professional | $24.55 | $24.55 | $24.55 |