| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.50 | $36.31 | |
Aetna
| Professional | $19.05 | $19.05 | $22.91 | |
BCBS
| Facility | $0.02 | $0.05 | $27.54 | |
BCBS
| Professional | $19.50 | $19.50 | $28.84 | |
Cigna
| Facility | $21.38 | $21.38 | $64.57 | |
Cigna
| Professional | $21.38 | $21.88 | $28.18 | |
United
| Facility | $14.13 | $14.79 | $39.81 | |
United
| Professional | $22.91 | $22.91 | $27.54 |