| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.89 | $29.89 | $29.89 | |
Aetna
| Professional | $16.63 | $19.27 | $29.89 | |
BCBS
| Facility | $51.03 | $72.28 | $81.59 | |
BCBS
| Professional | $23.63 | $23.63 | $33.76 | |
Cigna
| Professional | $14.73 | $14.73 | $14.73 | |
United
| Professional | $13.74 | $18.01 | $30.02 |