| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.83 | $30.83 | $124.65 | |
Aetna
| Professional | $30.83 | $30.83 | $31.96 | |
BCBS
| Professional | $23.02 | $33.09 | $41.06 | |
Cigna
| Facility | $31.96 | $31.96 | $31.96 | |
Cigna
| Professional | $31.96 | $31.96 | $31.96 | |
Medcost
| Facility | $15.11 | $30.83 | $41.62 | |
United
| Professional | $37.60 | $37.60 | $37.60 |