| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.62 | $10.62 | $10.62 | |
Aetna
| Professional | $10.62 | $10.62 | $11.15 | |
BCBS
| Facility | $497.70 | $603.98 | $812.55 | |
BCBS
| Professional | $32.79 | $32.79 | $32.79 | |
Cigna
| Facility | $33.45 | $33.45 | $33.45 | |
Cigna
| Professional | $20.35 | $33.45 | $33.45 | |
United
| Professional | $10.62 | $10.62 | $10.62 |