| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.72 | $27.72 | $44.18 | |
Aetna
| Professional | $27.72 | $31.62 | $45.82 | |
BCBS
| Facility | $38.32 | $38.32 | $38.32 | |
BCBS
| Professional | $38.32 | $38.32 | $38.32 | |
Cigna
| Facility | $30.91 | $30.91 | $30.91 | |
Cigna
| Professional | $22.56 | $22.56 | $30.91 | |
United
| Professional | $16.45 | $23.01 | $38.02 |