| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.00 | $28.00 | $34.00 | |
Aetna
| Professional | $22.00 | $24.00 | $25.50 | |
BCBS
| Facility | $1.12 | $1.15 | $1.91 | |
BCBS
| Professional | $0.99 | $0.99 | $5.09 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $2.54 | $2.54 | $2.54 | |
United
| Professional | $0.18 | $0.27 | $0.34 |