| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.60 | $37.60 | $49.63 | |
Aetna
| Professional | $37.60 | $37.60 | $37.60 | |
BCBS
| Facility | $0.34 | $0.34 | $0.51 | |
BCBS
| Professional | $0.34 | $0.34 | $0.35 | |
Cigna
| Facility | $31.96 | $31.96 | $31.96 | |
Cigna
| Professional | $31.96 | $31.96 | $31.96 | |
United
| Professional | $37.60 | $37.60 | $47.00 |