| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $30.90 | $50.12 | |
Aetna
| Professional | $25.12 | $30.20 | $51.29 | |
BCBS
| Facility | $44.67 | $44.67 | $44.67 | |
BCBS
| Professional | $44.67 | $44.67 | $44.67 | |
Cigna
| Facility | $31.62 | $31.62 | $31.62 | |
Cigna
| Professional | $22.91 | $22.91 | $31.62 | |
United
| Facility | $16.98 | $45.71 | $69.18 | |
United
| Professional | $16.98 | $26.92 | $38.90 |