| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $28.18 | $37.15 | |
Aetna
| Professional | $15.14 | $28.84 | $34.67 | |
BCBS
| Facility | $30.20 | $30.20 | $30.20 | |
BCBS
| Professional | $15.14 | $32.36 | $66.07 | |
Cigna
| Facility | $54.95 | $54.95 | $77.62 | |
Cigna
| Professional | $20.42 | $25.70 | $51.29 | |
United
| Facility | $33.88 | $44.67 | $109.65 | |
United
| Professional | $21.88 | $35.48 | $79.43 |