| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.20 | $53.20 | $53.20 | |
Aetna
| Professional | $13.10 | $13.10 | $13.91 | |
BCBS
| Facility | $13.91 | $14.46 | $15.28 | |
BCBS
| Professional | $14.73 | $14.73 | $14.73 | |
Cigna
| Facility | $13.91 | $13.91 | $13.91 | |
Cigna
| Professional | $13.91 | $13.91 | $13.91 | |
United
| Professional | $13.64 | $13.64 | $13.64 |