| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.00 | $42.00 | $42.00 | |
Aetna
| Professional | $33.71 | $42.00 | $42.00 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $33.96 | $42.74 | $42.74 | |
Cigna
| Facility | $46.76 | $46.76 | $46.76 | |
Cigna
| Professional | $39.75 | $39.75 | $39.75 | |
United
| Professional | $20.74 | $31.12 | $51.86 |