| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.97 | $90.97 | $90.97 | |
Aetna
| Professional | $27.99 | $27.99 | $29.39 | |
BCBS
| Facility | $25.61 | $28.62 | $82.36 | |
BCBS
| Professional | $27.99 | $27.99 | $27.99 | |
Cigna
| Facility | $27.99 | $27.99 | $27.99 | |
Cigna
| Professional | $27.99 | $27.99 | $27.99 | |
United
| Professional | $27.99 | $27.99 | $31.16 |