| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.50 | $11.50 | $11.50 | |
Aetna
| Professional | $11.50 | $12.17 | $21.07 | |
BCBS
| Facility | $39.36 | $55.76 | $62.94 | |
BCBS
| Professional | $12.44 | $14.63 | $23.84 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
United
| Professional | $10.60 | $13.89 | $23.15 |