| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.86 | $17.86 | $17.86 | |
Aetna
| Professional | $17.86 | $17.86 | $17.86 | |
BCBS
| Facility | $15.32 | $15.32 | $16.85 | |
BCBS
| Professional | $13.13 | $13.13 | $13.13 | |
Cigna
| Professional | $10.60 | $10.60 | $10.60 | |
United
| Professional | $20.17 | $21.01 | $27.31 |