| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.50 | $19.50 | $19.50 | |
Aetna
| Professional | $12.88 | $18.20 | $33.88 | |
BCBS
| Facility | $30.90 | $30.90 | $37.15 | |
BCBS
| Professional | $24.55 | $30.20 | $63.10 | |
Cigna
| Facility | $38.90 | $38.90 | $38.90 | |
Cigna
| Professional | $12.02 | $13.49 | $28.18 | |
United
| Professional | $8.32 | $11.75 | $27.54 |