| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.14 | $124.92 | $268.85 | |
Aetna
| Professional | $14.10 | $17.14 | $17.14 | |
BCBS
| Facility | $24.94 | $24.94 | $29.93 | |
BCBS
| Professional | $21.43 | $27.00 | $55.00 | |
Cigna
| Facility | $34.20 | $34.20 | $34.20 | |
Cigna
| Professional | $8.50 | $19.82 | $30.87 | |
United
| Professional | $7.20 | $8.38 | $19.95 |