| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.33 | $10.33 | $10.33 | |
Aetna
| Professional | $6.71 | $6.71 | $10.33 | |
BCBS
| Facility | $17.71 | $17.71 | $21.26 | |
BCBS
| Professional | $12.91 | $16.00 | $33.00 | |
Cigna
| Facility | $20.94 | $20.94 | $20.94 | |
Cigna
| Professional | $6.38 | $11.98 | $14.97 | |
United
| Professional | $4.34 | $5.96 | $14.43 |