| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.03 | $17.35 | $19.46 | |
Aetna
| Professional | $16.22 | $17.03 | $19.46 | |
BCBS
| Facility | $23.64 | $23.64 | $23.64 | |
BCBS
| Professional | $76.64 | $76.64 | $76.64 | |
Cigna
| Facility | $16.22 | $16.22 | $49.11 | |
Cigna
| Professional | $16.22 | $16.22 | $54.65 | |
United
| Professional | $14.21 | $16.22 | $24.98 |