| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.04 | $28.39 | $34.64 | |
Aetna
| Professional | $10.50 | $12.83 | $16.04 | |
BCBS
| Facility | $47.96 | $57.76 | $152.69 | |
BCBS
| Professional | $0.02 | $0.02 | $1.35 | |
Cigna
| Facility | $60.12 | $60.12 | $64.00 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
United
| Professional | $15.62 | $15.62 | $15.62 |