| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.73 | $245.16 | $250.77 | |
Aetna
| Professional | $13.73 | $13.73 | $13.73 | |
BCBS
| Facility | $13.18 | $13.18 | $15.81 | |
BCBS
| Professional | $17.16 | $21.00 | $44.00 | |
Cigna
| Facility | $27.22 | $27.22 | $27.22 | |
Cigna
| Professional | $5.16 | $15.69 | $19.62 | |
United
| Professional | $4.88 | $5.77 | $28.83 |