| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.61 | $14.61 | $14.61 | |
Aetna
| Professional | $14.61 | $14.61 | $14.61 | |
BCBS
| Facility | $18.76 | $18.76 | $22.52 | |
BCBS
| Professional | $18.26 | $23.00 | $47.00 | |
Cigna
| Facility | $29.31 | $29.31 | $29.31 | |
Cigna
| Professional | $6.68 | $16.93 | $21.17 | |
United
| Professional | $6.14 | $6.32 | $15.29 |