| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.99 | $30.99 | $30.99 | |
Aetna
| Professional | $18.59 | $30.99 | $30.99 | |
BCBS
| Facility | $28.79 | $28.79 | $31.67 | |
BCBS
| Professional | $27.42 | $27.42 | $27.42 | |
Cigna
| Professional | $29.14 | $29.14 | $29.14 | |
United
| Professional | $11.77 | $29.43 | $39.54 |