| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.44 | $83.18 | $162.18 | |
Aetna
| Professional | $22.91 | $26.92 | $37.15 | |
BCBS
| Professional | $33.88 | $36.31 | $47.86 | |
Cigna
| Facility | $21.88 | $83.18 | $194.98 | |
Medcost
| Facility | $25.12 | $30.20 | $61.66 | |
United
| Facility | $30.20 | $33.88 | $40.74 | |
United
| Professional | $14.13 | $20.42 | $33.88 |