| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $151.36 | |
Aetna
| Professional | $19.95 | $19.95 | $28.84 | |
BCBS
| Facility | $23.99 | $23.99 | $46.77 | |
BCBS
| Professional | $14.45 | $14.45 | $33.88 | |
Cigna
| Facility | $54.95 | $70.79 | $125.89 | |
Cigna
| Professional | $31.62 | $93.33 | $275.42 | |
United
| Professional | $34.67 | $50.12 | $60.26 |