| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.00 | $39.00 | $39.65 | |
Aetna
| Professional | $35.50 | $35.50 | $37.99 | |
BCBS
| Facility | $35.50 | $93.02 | $117.63 | |
BCBS
| Professional | $35.50 | $35.50 | $37.54 | |
Cigna
| Facility | $39.10 | $39.10 | $40.66 | |
Cigna
| Professional | $31.89 | $31.89 | $31.89 | |
United
| Professional | $33.65 | $38.54 | $66.55 |