| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.90 | $39.90 | $39.90 | |
Aetna
| Professional | $12.27 | $12.28 | $12.78 | |
BCBS
| Facility | $11.99 | $11.99 | $26.52 | |
BCBS
| Professional | $12.28 | $12.28 | $12.28 | |
Cigna
| Facility | $12.28 | $12.28 | $12.28 | |
Cigna
| Professional | $12.28 | $12.28 | $12.28 | |
United
| Professional | $12.28 | $12.28 | $13.67 |