| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.41 | $24.41 | $24.41 | |
Aetna
| Professional | $22.18 | $24.41 | $43.18 | |
BCBS
| Professional | $26.00 | $32.77 | $52.28 | |
Cigna
| Facility | $21.60 | $27.38 | $30.22 | |
Cigna
| Professional | $19.98 | $27.38 | $29.66 | |
Medcost
| Facility | $14.11 | $32.95 | $77.45 | |
Medcost
| Professional | $28.00 | $28.00 | $28.00 | |
United
| Professional | $16.39 | $23.41 | $29.66 |