| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.72 | $52.72 | $52.72 | |
Aetna
| Professional | $16.22 | $16.38 | $16.86 | |
BCBS
| Facility | $14.46 | $14.46 | $54.65 | |
BCBS
| Professional | $16.22 | $16.22 | $16.22 | |
Cigna
| Facility | $15.30 | $16.22 | $16.22 | |
Cigna
| Professional | $16.22 | $16.22 | $16.22 | |
United
| Professional | $6.49 | $16.22 | $49.39 |