| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.11 | $15.11 | $15.11 | |
Aetna
| Professional | $9.07 | $15.11 | $15.11 | |
BCBS
| Facility | $14.04 | $14.04 | $15.45 | |
BCBS
| Professional | $13.37 | $13.37 | $13.37 | |
Cigna
| Professional | $10.19 | $10.19 | $10.19 | |
United
| Professional | $5.74 | $14.35 | $19.27 |