| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.53 | $21.59 | $68.68 | |
Aetna
| Professional | $15.68 | $15.69 | $17.43 | |
BCBS
| Professional | $5.68 | $15.69 | $15.69 | |
Cigna
| Facility | $15.69 | $15.69 | $15.69 | |
Cigna
| Professional | $10.18 | $15.69 | $15.69 | |
United
| Professional | $15.69 | $15.69 | $15.69 |