| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.80 | $37.74 | $447.86 | |
Aetna
| Professional | $36.85 | $37.74 | $37.74 | |
BCBS
| Facility | $49.00 | $49.00 | $49.00 | |
BCBS
| Professional | $49.00 | $49.00 | $49.00 | |
Cigna
| Facility | $37.74 | $37.74 | $68.56 | |
Cigna
| Professional | $37.74 | $37.74 | $37.74 | |
United
| Professional | $37.00 | $37.00 | $163.44 |