| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.37 | $19.52 | $19.52 | |
Aetna
| Professional | $19.52 | $19.52 | $21.69 | |
BCBS
| Facility | $111.43 | $135.22 | $181.92 | |
BCBS
| Professional | $19.52 | $19.52 | $20.42 | |
Cigna
| Facility | $19.52 | $19.52 | $19.52 | |
Cigna
| Professional | $17.36 | $19.52 | $19.52 | |
United
| Professional | $19.52 | $19.52 | $19.52 |