| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.00 | $11.00 | $11.00 | |
Aetna
| Professional | $3.00 | $9.94 | $14.85 | |
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 | $9.59 | $12.09 | $12.99 |