| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $20.89 | $20.89 | |
Aetna
| Professional | $14.13 | $16.98 | $19.95 | |
BCBS
| Facility | $32.36 | $32.36 | $38.90 | |
BCBS
| Professional | $26.30 | $32.36 | $67.61 | |
Cigna
| Facility | $41.69 | $41.69 | $41.69 | |
Cigna
| Professional | $11.48 | $12.88 | $30.20 | |
United
| Facility | $20.89 | $20.89 | $20.89 | |
United
| Professional | $8.71 | $11.22 | $26.30 |