| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.67 | $21.67 | $21.67 | |
Aetna
| Professional | $15.79 | $21.67 | $21.67 | |
BCBS
| Facility | $22.73 | $22.73 | $27.27 | |
BCBS
| Professional | $27.09 | $34.00 | $69.00 | |
Cigna
| Facility | $43.27 | $43.27 | $43.27 | |
Cigna
| Professional | $7.59 | $24.78 | $30.98 | |
United
| Professional | $7.60 | $9.10 | $18.09 |