| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.50 | $119.50 | $119.50 | |
Aetna
| Professional | $36.77 | $36.77 | $38.24 | |
BCBS
| Facility | $36.74 | $36.74 | $39.22 | |
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 | $36.77 |