| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.66 | $22.66 | $22.66 | |
Aetna
| Professional | $22.66 | $23.98 | $41.54 | |
BCBS
| Facility | $77.61 | $109.91 | $124.08 | |
BCBS
| Professional | $24.51 | $28.84 | $46.99 | |
Cigna
| Professional | $28.02 | $28.02 | $28.02 | |
United
| Professional | $20.90 | $29.53 | $45.64 |