| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.91 | $13.91 | $13.91 | |
Aetna
| Professional | $13.42 | $13.91 | $23.14 | |
BCBS
| Facility | $111.43 | $135.22 | $181.92 | |
BCBS
| Professional | $13.64 | $13.64 | $13.64 | |
Cigna
| Facility | $13.91 | $13.91 | $13.91 | |
Cigna
| Professional | $13.91 | $13.91 | $13.91 | |
United
| Professional | $13.64 | $13.64 | $13.64 |