| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $25.12 | |
Aetna
| Professional | $12.88 | $19.95 | $26.92 | |
BCBS
| Professional | $32.36 | $34.67 | $44.67 | |
Cigna
| Facility | $51.29 | $51.29 | $51.29 | |
Cigna
| Professional | $16.22 | $16.22 | $16.22 | |
Medcost
| Professional | $22.91 | $22.91 | $22.91 | |
Medcost
| Facility | $19.50 | $29.51 | $54.95 | |
United
| Professional | $11.22 | $15.85 | $20.42 |