| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $20.89 | $30.90 | |
Aetna
| Professional | $14.13 | $20.89 | $28.84 | |
BCBS
| Facility | $10.72 | $13.49 | $37.15 | |
BCBS
| Professional | $14.13 | $15.85 | $35.48 | |
Cigna
| Facility | $51.29 | $83.18 | $245.47 | |
Cigna
| Professional | $13.49 | $18.20 | $38.90 | |
United
| Facility | $13.49 | $20.42 | $33.88 | |
United
| Professional | $10.96 | $16.22 | $25.12 |