| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.36 | $28.36 | $40.54 | |
Aetna
| Professional | $28.36 | $28.36 | $28.36 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
BCBS
| Professional | $21.67 | $23.55 | $23.55 | |
Cigna
| Facility | $12.60 | $12.60 | $12.60 | |
Cigna
| Professional | $10.71 | $10.71 | $12.60 | |
United
| Professional | $8.83 | $14.23 | $22.08 |