| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.44 | $63.44 | $63.44 | |
Aetna
| Professional | $19.52 | $19.52 | $20.30 | |
BCBS
| Facility | $17.37 | $17.37 | $20.66 | |
BCBS
| Professional | $19.52 | $19.52 | $19.52 | |
Cigna
| Facility | $18.42 | $19.52 | $19.52 | |
Cigna
| Professional | $19.52 | $19.52 | $19.52 | |
United
| Professional | $19.52 | $19.52 | $19.52 |