| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.01 | $187.80 | $622.50 | |
Aetna
| Professional | $9.89 | $15.10 | $27.87 | |
BCBS
| Facility | $20.73 | $20.73 | $20.73 | |
BCBS
| Professional | $20.73 | $20.73 | $20.73 | |
Cigna
| Facility | $8.92 | $10.41 | $18.11 | |
Cigna
| Professional | $5.52 | $9.17 | $19.62 | |
United
| Professional | $4.84 | $6.87 | $23.44 |