| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.16 | $86.16 | $86.16 | |
Aetna
| Professional | $26.51 | $26.51 | $27.57 | |
BCBS
| Facility | $27.09 | $29.92 | $73.12 | |
BCBS
| Professional | $26.51 | $26.51 | $26.51 | |
Cigna
| Facility | $26.51 | $26.51 | $26.51 | |
Cigna
| Professional | $26.51 | $26.51 | $26.51 | |
United
| Professional | $26.51 | $26.51 | $29.51 |