| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.17 | $15.17 | $15.17 | |
Aetna
| Professional | $15.17 | $15.17 | $15.17 | |
BCBS
| Facility | $15.96 | $24.91 | $45.95 | |
BCBS
| Professional | $14.87 | $15.17 | $15.17 | |
Cigna
| Facility | $16.64 | $16.64 | $16.64 | |
Cigna
| Professional | $16.64 | $16.64 | $16.64 | |
United
| Facility | $46.22 | $50.93 | $51.30 | |
United
| Professional | $15.32 | $17.62 | $23.60 |