| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.08 | $29.08 | $29.08 | |
Aetna
| Professional | $7.00 | $9.11 | $29.08 | |
BCBS
| Facility | $21.48 | $30.43 | $34.35 | |
BCBS
| Professional | $9.93 | $9.93 | $14.19 | |
Cigna
| Professional | $6.20 | $6.20 | $6.20 | |
United
| Professional | $5.78 | $7.57 | $12.62 |