| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.69 | $92.69 | $92.69 | |
Aetna
| Professional | $28.52 | $28.52 | $29.66 | |
BCBS
| Facility | $28.52 | $28.52 | $32.61 | |
BCBS
| Professional | $28.52 | $28.52 | $28.52 | |
Cigna
| Facility | $28.52 | $28.52 | $28.52 | |
Cigna
| Professional | $28.52 | $28.52 | $28.52 | |
United
| Professional | $28.52 | $28.52 | $31.75 |