| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.54 | $34.54 | $55.05 | |
Aetna
| Professional | $28.24 | $36.19 | $55.05 | |
BCBS
| Facility | $47.77 | $47.77 | $47.77 | |
BCBS
| Professional | $47.77 | $47.77 | $47.77 | |
Cigna
| Facility | $34.22 | $34.22 | $36.71 | |
Cigna
| Professional | $24.98 | $24.98 | $36.71 | |
United
| Professional | $18.22 | $29.26 | $45.90 |