| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.59 | $21.59 | $21.59 | |
Aetna
| Professional | $12.95 | $21.59 | $21.59 | |
BCBS
| Facility | $20.05 | $20.05 | $22.06 | |
BCBS
| Professional | $19.10 | $19.10 | $19.10 | |
Cigna
| Professional | $20.35 | $20.35 | $20.35 | |
United
| Professional | $8.19 | $21.87 | $27.53 |