| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $30.00 | |
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
BCBS
| Facility | $0.02 | $75.73 | $85.49 | |
BCBS
| Professional | $58.35 | $58.35 | $58.35 | |
Cigna
| Professional | $14.68 | $14.68 | $14.68 | |
United
| Professional | $14.77 | $22.16 | $36.93 |