| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.34 | $11.34 | $11.34 | |
Aetna
| Professional | $11.34 | $11.34 | $11.34 | |
BCBS
| Facility | $403.39 | $489.53 | $658.57 | |
BCBS
| Professional | $19.95 | $20.81 | $28.50 | |
Cigna
| Professional | $17.84 | $17.84 | $17.84 | |
United
| Professional | $18.19 | $23.10 | $34.77 |