| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.12 | $24.65 | $149.87 | |
Aetna
| Professional | $24.65 | $25.28 | $27.49 | |
BCBS
| Professional | $31.60 | $31.60 | $43.21 | |
Cigna
| Facility | $21.06 | $77.84 | $180.18 | |
Cigna
| Professional | $36.34 | $36.34 | $45.43 | |
Medcost
| Facility | $22.12 | $25.28 | $33.81 | |
Medcost
| Professional | $31.60 | $31.60 | $31.60 | |
United
| Professional | $13.27 | $18.96 | $37.92 |