| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $66.07 | $66.07 | |
Aetna
| Professional | $33.11 | $33.11 | $50.12 | |
BCBS
| Facility | $33.88 | $33.88 | $35.48 | |
BCBS
| Professional | $33.88 | $33.88 | $33.88 | |
Cigna
| Facility | $32.36 | $33.88 | $33.88 | |
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
United
| Facility | $33.88 | $33.88 | $33.88 | |
United
| Professional | $33.88 | $33.88 | $38.02 |