| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $53.70 | $53.70 | |
Aetna
| Professional | $10.00 | $10.00 | $12.02 | |
BCBS
| Facility | $29.51 | $29.51 | $29.51 | |
Cigna
| Facility | $33.88 | $33.88 | $33.88 | |
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
United
| Facility | $10.72 | $10.72 | $10.72 | |
United
| Professional | $10.23 | $10.72 | $19.05 |