| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.40 | $13.40 | $13.40 | |
Aetna
| Professional | $10.25 | $13.40 | $13.40 | |
BCBS
| Facility | $248.85 | $301.99 | $406.27 | |
BCBS
| Professional | $7.62 | $10.44 | $12.32 | |
Cigna
| Professional | $9.52 | $9.52 | $9.52 | |
United
| Professional | $7.28 | $9.14 | $10.45 |