| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.98 | $96.98 | $96.98 | |
Aetna
| Professional | $29.84 | $29.84 | $31.04 | |
BCBS
| Facility | $24.45 | $24.45 | $75.59 | |
BCBS
| Professional | $29.84 | $29.84 | $29.84 | |
Cigna
| Facility | $28.15 | $29.84 | $29.84 | |
Cigna
| Professional | $29.84 | $29.84 | $29.84 | |
United
| Professional | $29.84 | $29.84 | $29.84 |