| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.00 | $15.00 | $15.00 | |
Aetna
| Professional | $15.00 | $15.00 | $15.00 | |
BCBS
| Facility | $20.55 | $20.55 | $24.66 | |
BCBS
| Professional | $18.75 | $23.00 | $48.00 | |
Cigna
| Facility | $30.01 | $30.01 | $30.01 | |
Cigna
| Professional | $7.44 | $16.93 | $21.17 | |
United
| Professional | $6.30 | $6.93 | $16.76 |