| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $14.35 | $87.25 | |
Aetna
| Professional | $14.35 | $14.35 | $16.01 | |
BCBS
| Professional | $18.39 | $19.32 | $25.16 | |
Cigna
| Facility | $33.44 | $53.34 | $104.91 | |
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
Medcost
| Facility | $13.80 | $15.82 | $24.40 | |
Medcost
| Professional | $18.39 | $18.39 | $18.39 | |
United
| Professional | $7.73 | $11.04 | $22.08 |