| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.52 | $34.52 | $34.52 | |
Aetna
| Professional | $10.62 | $10.62 | $11.04 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $33.45 | $33.45 | $33.45 | |
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
United
| Professional | $10.62 | $10.62 | $48.57 |