| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.72 | $13.72 | $13.72 | |
Aetna
| Professional | $13.72 | $14.52 | $25.15 | |
BCBS
| Facility | $46.98 | $66.54 | $75.12 | |
BCBS
| Professional | $14.85 | $17.47 | $28.46 | |
Cigna
| Professional | $13.56 | $13.56 | $18.01 | |
United
| Professional | $12.65 | $16.57 | $27.63 |