| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.66 | $18.66 | $18.66 | |
Aetna
| Professional | $14.74 | $18.66 | $27.66 | |
BCBS
| Professional | $16.69 | $20.07 | $70.17 | |
Cigna
| Professional | $19.12 | $24.04 | $45.15 | |
Medcost
| Facility | $15.24 | $22.58 | $43.64 | |
Medcost
| Professional | $280.00 | $280.00 | $280.00 | |
United
| Professional | $15.69 | $18.52 | $29.65 |