| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.03 | $21.11 | $21.11 | |
Aetna
| Professional | $7.98 | $11.96 | $21.11 | |
BCBS
| Facility | $15.00 | $15.00 | $15.00 | |
BCBS
| Professional | $15.00 | $15.00 | $15.00 | |
Cigna
| Professional | $3.75 | $4.69 | $8.52 | |
United
| Professional | $8.76 | $11.80 | $16.80 |