| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.11 | $33.27 | $40.24 | |
Aetna
| Professional | $17.95 | $25.97 | $44.10 | |
BCBS
| Facility | $110.22 | $110.22 | $110.22 | |
BCBS
| Professional | $17.89 | $26.32 | $43.86 | |
Cigna
| Facility | $65.27 | $96.56 | $120.74 | |
Cigna
| Professional | $18.37 | $29.26 | $55.75 | |
United
| Professional | $26.98 | $37.06 | $68.64 |