| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.00 | $69.00 | $69.00 | |
Aetna
| Professional | $21.23 | $21.23 | $22.08 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $28.21 | $28.21 | $28.21 | |
Cigna
| Professional | $28.21 | $28.21 | $28.21 | |
United
| Professional | $21.23 | $21.23 | $46.25 |