| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $19.95 | $28.84 | |
Aetna
| Professional | $15.85 | $19.05 | $26.92 | |
BCBS
| Facility | $478.63 | $478.63 | $478.63 | |
BCBS
| Professional | $19.95 | $33.11 | $123.03 | |
Cigna
| Facility | $10.96 | $18.20 | $18.62 | |
United
| Professional | $28.18 | $39.81 | $64.57 |