| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.74 | $12.74 | $157.47 | |
Aetna
| Professional | $10.62 | $12.74 | $12.74 | |
BCBS
| Facility | $11.51 | $11.51 | $11.51 | |
BCBS
| Professional | $11.02 | $11.51 | $11.51 | |
Cigna
| Facility | $11.32 | $33.45 | $33.45 | |
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
United
| Professional | $10.09 | $10.62 | $33.45 |