| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.45 | $85.45 | $85.45 | |
Aetna
| Professional | $10.40 | $11.00 | $12.19 | |
BCBS
| Facility | $15.75 | $17.50 | $18.28 | |
BCBS
| Professional | $19.69 | $19.69 | $19.69 | |
Cigna
| Facility | $44.36 | $44.36 | $44.36 | |
Cigna
| Professional | $11.89 | $11.89 | $11.89 | |
United
| Professional | $6.24 | $8.92 | $21.43 |