| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $10.96 | |
Aetna
| Professional | $6.03 | $8.91 | $12.02 | |
BCBS
| Professional | $14.13 | $15.14 | $19.50 | |
Cigna
| Facility | $22.39 | $22.39 | $22.39 | |
Cigna
| Professional | $7.08 | $7.08 | $7.08 | |
Medcost
| Professional | $10.00 | $10.00 | $10.00 | |
Medcost
| Facility | $8.51 | $12.88 | $23.99 | |
United
| Professional | $4.90 | $6.92 | $8.91 |