| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $151.36 | |
Aetna
| Professional | $25.12 | $25.12 | $25.12 | |
BCBS
| Facility | $19.95 | $25.70 | $64.57 | |
BCBS
| Professional | $21.88 | $26.92 | $39.81 | |
Cigna
| Facility | $64.57 | $97.72 | $275.42 | |
Cigna
| Professional | $7.59 | $7.59 | $38.02 | |
United
| Facility | $18.62 | $18.62 | $18.62 | |
United
| Professional | $37.15 | $37.15 | $43.65 |