| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.00 | $12.00 | $14.30 | |
Aetna
| Professional | $5.00 | $12.00 | $14.30 | |
BCBS
| Facility | $51.18 | $62.11 | $83.55 | |
BCBS
| Professional | $12.09 | $12.09 | $12.09 | |
Cigna
| Professional | $10.13 | $11.92 | $29.29 | |
United
| Professional | $8.84 | $12.99 | $16.11 |