| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.95 | $16.95 | $16.95 | |
Aetna
| Professional | $16.95 | $17.93 | $31.07 | |
BCBS
| Facility | $58.02 | $82.19 | $92.79 | |
BCBS
| Professional | $18.32 | $21.57 | $35.14 | |
Cigna
| Professional | $20.95 | $20.95 | $20.95 | |
United
| Professional | $15.62 | $20.47 | $34.11 |