| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.06 | $10.06 | $23.89 | |
Aetna
| Professional | $7.59 | $15.91 | $23.89 | |
BCBS
| Facility | $69.28 | $84.08 | $113.12 | |
BCBS
| Professional | $6.10 | $14.24 | $23.01 | |
Cigna
| Professional | $9.00 | $21.61 | $39.81 | |
United
| Professional | $14.75 | $19.10 | $27.77 |