| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $45.71 | $87.10 | |
Aetna
| Professional | $12.88 | $14.13 | $19.95 | |
BCBS
| Professional | $18.20 | $19.50 | $25.70 | |
Cigna
| Facility | $12.02 | $45.71 | $104.71 | |
Cigna
| Professional | $20.89 | $20.89 | $26.30 | |
Medcost
| Facility | $13.80 | $16.60 | $33.88 | |
United
| Facility | $16.60 | $18.20 | $21.88 | |
United
| Professional | $7.76 | $10.96 | $20.42 |