| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.17 | $83.17 | $83.17 | |
Aetna
| Professional | $25.59 | $25.59 | $26.61 | |
BCBS
| Facility | $27.86 | $27.86 | $30.44 | |
BCBS
| Professional | $25.59 | $25.59 | $25.59 | |
Cigna
| Facility | $24.14 | $25.59 | $25.59 | |
Cigna
| Professional | $25.59 | $25.59 | $25.59 | |
United
| Professional | $25.59 | $25.59 | $25.59 |