| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $12.88 | $15.85 | |
BCBS
| Facility | $18.62 | $18.62 | $18.62 | |
BCBS
| Professional | $18.62 | $18.62 | $18.62 | |
Cigna
| Facility | $13.80 | $13.80 | $16.22 | |
Cigna
| Professional | $11.75 | $13.80 | $16.22 | |
United
| Facility | $1.12 | $8.51 | $15.14 | |
United
| Professional | $6.92 | $11.22 | $23.44 |