| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.76 | $38.76 | $38.76 | |
Aetna
| Professional | $36.47 | $37.85 | $40.28 | |
BCBS
| Facility | $263.35 | $319.58 | $429.95 | |
BCBS
| Professional | $38.00 | $38.00 | $38.00 | |
Cigna
| Facility | $38.76 | $38.76 | $38.76 | |
Cigna
| Professional | $38.76 | $38.76 | $38.76 | |
United
| Professional | $32.29 | $38.00 | $42.30 |