| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.05 | $13.42 | $81.59 | |
Aetna
| Professional | $13.42 | $13.42 | $13.77 | |
BCBS
| Professional | $17.21 | $17.21 | $23.53 | |
Cigna
| Facility | $31.29 | $42.41 | $98.16 | |
Medcost
| Facility | $13.42 | $17.21 | $21.68 | |
Medcost
| Professional | $17.21 | $17.21 | $17.21 | |
United
| Professional | $7.23 | $9.82 | $15.67 |