| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.50 | $25.56 | $28.87 | |
Aetna
| Professional | $22.03 | $26.02 | $37.85 | |
BCBS
| Facility | $49.35 | $52.86 | $98.70 | |
BCBS
| Professional | $27.28 | $47.00 | $90.00 | |
Cigna
| Facility | $40.14 | $40.14 | $40.14 | |
Cigna
| Professional | $34.11 | $34.11 | $41.34 | |
United
| Professional | $18.79 | $25.36 | $36.19 |