| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.93 | $59.93 | $59.93 | |
Aetna
| Professional | $18.44 | $18.44 | $19.18 | |
BCBS
| Facility | $17.51 | $17.51 | $18.50 | |
BCBS
| Professional | $18.44 | $18.44 | $18.44 | |
Cigna
| Facility | $17.39 | $18.44 | $18.44 | |
Cigna
| Professional | $18.44 | $18.44 | $18.44 | |
United
| Professional | $3.68 | $18.44 | $18.44 |