| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $16.98 | $16.98 | |
Aetna
| Professional | $8.63 | $16.98 | $16.98 | |
BCBS
| Professional | $15.05 | $15.05 | $15.05 | |
Cigna
| Facility | $11.23 | $11.23 | $20.13 | |
Cigna
| Professional | $9.55 | $11.23 | $17.63 | |
United
| Professional | $5.98 | $10.09 | $13.89 |