| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.88 | $48.88 | $48.88 | |
Aetna
| Professional | $15.04 | $15.04 | $15.64 | |
BCBS
| Facility | $15.03 | $15.03 | $15.88 | |
BCBS
| Professional | $15.04 | $15.04 | $15.04 | |
Cigna
| Facility | $14.19 | $15.04 | $15.04 | |
Cigna
| Professional | $15.04 | $15.04 | $15.04 | |
United
| Professional | $15.04 | $15.04 | $15.04 |