| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $19.05 | |
Aetna
| Professional | $17.32 | $19.05 | $33.72 | |
BCBS
| Professional | $20.00 | $25.22 | $40.82 | |
Cigna
| Facility | $10.80 | $21.38 | $23.59 | |
Cigna
| Professional | $15.61 | $21.38 | $23.17 | |
Medcost
| Facility | $11.02 | $25.74 | $60.49 | |
Medcost
| Professional | $22.00 | $22.00 | $22.00 | |
United
| Professional | $12.81 | $18.36 | $23.17 |