| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.41 | $12.41 | $25.28 | |
BCBS
| Facility | $28.19 | $28.19 | $28.19 | |
BCBS
| Professional | $28.19 | $28.19 | $28.19 | |
Cigna
| Facility | $31.30 | $31.30 | $31.30 | |
Cigna
| Professional | $12.25 | $12.25 | $25.30 | |
United
| Professional | $11.50 | $12.74 | $14.15 |