| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.06 | $13.06 | $13.06 | |
Aetna
| Professional | $13.06 | $13.82 | $18.43 | |
BCBS
| Facility | $39.69 | $50.16 | $57.68 | |
BCBS
| Professional | $19.23 | $22.64 | $22.64 | |
Cigna
| Professional | $15.09 | $15.09 | $15.09 | |
United
| Professional | $8.81 | $14.26 | $22.03 |