| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.18 | $10.18 | $138.71 | |
Aetna
| Professional | $10.18 | $10.18 | $10.18 | |
BCBS
| Facility | $12.58 | $12.58 | $15.09 | |
BCBS
| Professional | $12.73 | $16.00 | $33.00 | |
Cigna
| Facility | $20.23 | $20.23 | $20.23 | |
Cigna
| Professional | $6.23 | $11.56 | $14.46 | |
United
| Professional | $4.28 | $5.88 | $14.22 |