| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $28.75 | $50.00 | |
Aetna
| Professional | $19.50 | $28.75 | $28.75 | |
BCBS
| Facility | $57.67 | $69.98 | $94.15 | |
BCBS
| Professional | $16.22 | $88.24 | $104.12 | |
Cigna
| Facility | $15.93 | $20.30 | $54.11 | |
Cigna
| Professional | $14.63 | $14.63 | $14.63 | |
United
| Professional | $10.50 | $10.50 | $15.00 |