| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.91 | $33.88 | $100.00 | |
Aetna
| Professional | $6.03 | $15.14 | $21.88 | |
BCBS
| Facility | $50.12 | $63.10 | $158.49 | |
BCBS
| Professional | $0.02 | $1.00 | $2,511.89 | |
Cigna
| Facility | $6.17 | $64.57 | $64.57 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
United
| Professional | $14.13 | $15.49 | $72.44 |