| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.26 | $7.26 | $7.62 | |
Aetna
| Professional | $6.57 | $7.26 | $17.50 | |
BCBS
| Facility | $148.50 | $148.50 | $148.50 | |
BCBS
| Professional | $5.00 | $5.00 | $5.00 | |
Cigna
| Facility | $123.31 | $158.97 | $281.04 | |
Cigna
| Professional | $119.58 | $201.47 | $255.12 | |
United
| Professional | $20.00 | $20.00 | $20.00 |