| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.30 | $11.30 | $11.30 | |
Aetna
| Professional | $11.30 | $11.30 | $11.30 | |
BCBS
| Facility | $19.38 | $19.38 | $23.25 | |
BCBS
| Professional | $14.13 | $18.00 | $36.00 | |
Cigna
| Facility | $22.33 | $22.33 | $22.33 | |
Cigna
| Professional | $6.98 | $13.22 | $16.52 | |
United
| Professional | $4.75 | $6.52 | $15.78 |