| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.46 | $117.46 | $117.46 | |
Aetna
| Professional | $28.91 | $30.72 | $30.72 | |
BCBS
| Facility | $30.72 | $31.80 | $33.60 | |
BCBS
| Professional | $32.53 | $32.53 | $32.53 | |
Cigna
| Facility | $30.72 | $30.72 | $30.72 | |
Cigna
| Professional | $30.72 | $30.72 | $30.72 | |
United
| Professional | $30.00 | $30.00 | $33.40 |