| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.97 | $22.97 | $22.97 | |
Aetna
| Professional | $22.16 | $22.97 | $22.97 | |
BCBS
| Facility | $198.03 | $240.32 | $323.31 | |
BCBS
| Professional | $22.52 | $22.52 | $22.52 | |
Cigna
| Facility | $22.97 | $22.97 | $22.97 | |
Cigna
| Professional | $17.85 | $22.97 | $22.97 | |
United
| Professional | $22.52 | $22.52 | $22.52 |