| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.55 | $24.55 | $24.55 | |
Aetna
| Professional | $12.02 | $12.02 | $177.83 | |
BCBS
| Facility | $12.59 | $12.59 | $13.18 | |
BCBS
| Professional | $12.59 | $12.59 | $12.59 | |
Cigna
| Facility | $11.75 | $12.59 | $12.59 | |
Cigna
| Professional | $12.59 | $12.59 | $12.59 | |
United
| Facility | $0.15 | $0.15 | $0.15 | |
United
| Professional | $12.59 | $12.59 | $13.80 |