| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $21.88 | $21.88 | |
Aetna
| Professional | $7.94 | $21.88 | $21.88 | |
BCBS
| Facility | $22.39 | $23.44 | $28.18 | |
BCBS
| Professional | $18.62 | $21.88 | $28.18 | |
Cigna
| Facility | $64.57 | $218.78 | $269.15 | |
Cigna
| Professional | $114.82 | $144.54 | $229.09 | |
United
| Professional | $34.67 | $39.81 | $60.26 |