| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.91 | $10.91 | $10.91 | |
Aetna
| Professional | $8.52 | $10.91 | $12.60 | |
BCBS
| Facility | $29.70 | $29.70 | $29.70 | |
BCBS
| Professional | $9.59 | $9.59 | $13.11 | |
Cigna
| Professional | $9.52 | $12.05 | $114.34 | |
Medcost
| Facility | $7.52 | $10.37 | $13.09 | |
United
| Professional | $7.51 | $10.47 | $18.42 |