| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.72 | $15.72 | $15.72 | |
Aetna
| Professional | $15.72 | $16.64 | $28.82 | |
BCBS
| Facility | $53.84 | $76.23 | $86.07 | |
BCBS
| Professional | $17.01 | $20.01 | $32.60 | |
Cigna
| Professional | $19.44 | $19.44 | $19.44 | |
United
| Professional | $14.50 | $19.00 | $31.66 |