| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $25.70 | $28.84 | |
Aetna
| Professional | $18.20 | $28.84 | $33.11 | |
BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
BCBS
| Professional | $25.12 | $30.90 | $30.90 | |
Cigna
| Professional | $18.62 | $18.62 | $18.62 | |
United
| Facility | $25.70 | $42.66 | $42.66 | |
United
| Professional | $11.48 | $30.90 | $41.69 |