| 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 | $44.21 | $103.25 | $155.59 | |
BCBS
| Professional | $22.81 | $23.83 | $27.97 | |
Cigna
| Professional | $17.84 | $17.84 | $17.84 | |
United
| Professional | $20.57 | $28.11 | $49.07 |