| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.75 | $82.75 | $82.75 | |
Aetna
| Professional | $25.46 | $25.46 | $26.48 | |
BCBS
| Facility | $30.77 | $30.77 | $37.81 | |
BCBS
| Professional | $25.46 | $25.46 | $25.46 | |
Cigna
| Facility | $24.02 | $25.46 | $25.46 | |
Cigna
| Professional | $25.46 | $25.46 | $25.46 | |
United
| Professional | $22.30 | $25.46 | $28.52 |