| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.04 | $100.04 | $100.04 | |
Aetna
| Professional | $30.78 | $30.78 | $32.32 | |
BCBS
| Facility | $31.08 | $31.08 | $32.83 | |
BCBS
| Professional | $30.78 | $30.78 | $30.78 | |
Cigna
| Facility | $30.78 | $30.78 | $30.78 | |
Cigna
| Professional | $30.78 | $30.78 | $30.78 | |
United
| Professional | $30.78 | $30.78 | $34.26 |