| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.75 | $87.75 | $87.75 | |
Aetna
| Professional | $27.00 | $27.26 | $28.08 | |
BCBS
| Facility | $25.05 | $25.05 | $76.84 | |
BCBS
| Professional | $27.00 | $27.00 | $27.00 | |
Cigna
| Facility | $24.65 | $27.00 | $27.00 | |
Cigna
| Professional | $27.00 | $27.00 | $27.00 | |
United
| Professional | $27.00 | $27.00 | $27.00 |