| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.13 | $21.13 | $33.68 | |
Aetna
| Professional | $17.28 | $26.12 | $33.68 | |
BCBS
| Facility | $29.23 | $29.23 | $29.23 | |
BCBS
| Professional | $29.23 | $29.23 | $29.23 | |
Cigna
| Facility | $29.97 | $29.97 | $29.97 | |
Cigna
| Professional | $21.88 | $21.88 | $33.81 | |
United
| Professional | $11.99 | $17.89 | $28.09 |