| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.50 | $52.68 | $85.16 | |
Aetna
| Professional | $27.87 | $52.68 | $52.68 | |
BCBS
| Facility | $38.60 | $38.60 | $38.60 | |
BCBS
| Professional | $28.22 | $42.33 | $47.03 | |
Cigna
| Facility | $25.53 | $41.82 | $86.11 | |
Cigna
| Professional | $20.16 | $39.24 | $49.04 | |
United
| Professional | $14.22 | $22.19 | $33.86 |