| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.13 | $12.13 | $12.13 | |
Aetna
| Professional | $12.13 | $12.83 | $22.23 | |
BCBS
| Facility | $41.53 | $58.83 | $66.42 | |
BCBS
| Professional | $13.12 | $15.43 | $25.14 | |
Cigna
| Professional | $15.00 | $15.00 | $15.00 | |
United
| Professional | $11.18 | $14.65 | $24.42 |