| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $54.95 | $54.95 | |
Aetna
| Professional | $54.95 | $54.95 | $66.07 | |
BCBS
| Facility | $114.82 | $138.04 | $186.21 | |
BCBS
| Professional | $30.90 | $30.90 | $30.90 | |
Cigna
| Facility | $54.95 | $54.95 | $54.95 | |
Cigna
| Professional | $54.95 | $54.95 | $85.11 | |
United
| Facility | $0.05 | $21.38 | $54.95 | |
United
| Professional | $21.88 | $54.95 | $54.95 |