| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.20 | $19.20 | $19.20 | |
Aetna
| Professional | $19.19 | $19.20 | $21.12 | |
BCBS
| Facility | $14.59 | $21.98 | $53.10 | |
BCBS
| Professional | $17.00 | $17.00 | $19.20 | |
Cigna
| Facility | $11.89 | $11.89 | $11.89 | |
Cigna
| Professional | $11.89 | $11.89 | $11.89 | |
United
| Professional | $25.74 | $25.74 | $30.89 |