| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.00 | $28.77 | $45.86 | |
Aetna
| Professional | $19.67 | $33.24 | $45.86 | |
BCBS
| Facility | $48.04 | $48.04 | $48.04 | |
BCBS
| Professional | $48.04 | $48.04 | $48.04 | |
Cigna
| Facility | $38.15 | $38.15 | $42.22 | |
Cigna
| Professional | $32.43 | $32.43 | $42.22 | |
United
| Facility | $55.06 | $64.78 | $77.73 | |
United
| Professional | $19.73 | $31.06 | $49.72 |