| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.27 | $57.27 | $57.27 | |
Aetna
| Professional | $17.62 | $17.62 | $18.32 | |
BCBS
| Facility | $17.44 | $17.44 | $21.25 | |
BCBS
| Professional | $17.62 | $17.62 | $17.62 | |
Cigna
| Facility | $16.62 | $17.62 | $17.62 | |
Cigna
| Professional | $17.62 | $17.62 | $17.62 | |
United
| Professional | $17.62 | $17.62 | $17.62 |