| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.75 | $61.75 | $61.75 | |
Aetna
| Professional | $19.00 | $19.00 | $19.95 | |
BCBS
| Facility | $18.18 | $21.99 | $90.07 | |
BCBS
| Professional | $19.00 | $19.00 | $19.00 | |
Cigna
| Facility | $19.00 | $19.00 | $19.00 | |
Cigna
| Professional | $19.00 | $19.00 | $19.00 | |
United
| Professional | $19.00 | $19.00 | $21.15 |