| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.68 | $21.68 | $29.95 | |
Aetna
| Professional | $14.63 | $21.68 | $21.68 | |
BCBS
| Facility | $19.62 | $19.62 | $19.62 | |
BCBS
| Professional | $15.49 | $20.66 | $23.24 | |
Cigna
| Facility | $11.19 | $12.98 | $30.88 | |
United
| Facility | $15.49 | $15.49 | $15.49 | |
United
| Professional | $7.23 | $10.33 | $17.21 |