| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.77 | $45.48 | $78.72 | |
Aetna
| Professional | $36.77 | $37.13 | $44.52 | |
BCBS
| Facility | $36.77 | $59.53 | $116.91 | |
BCBS
| Professional | $36.77 | $36.77 | $36.77 | |
Cigna
| Facility | $34.68 | $36.77 | $36.77 | |
Cigna
| Professional | $36.77 | $36.77 | $36.77 | |
United
| Professional | $36.77 | $36.77 | $41.78 |