| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.58 | $25.58 | $25.58 | |
Aetna
| Professional | $15.52 | $17.98 | $25.65 | |
BCBS
| Facility | $47.60 | $67.45 | $76.14 | |
BCBS
| Professional | $22.04 | $22.04 | $31.48 | |
Cigna
| Professional | $13.74 | $13.74 | $13.74 | |
United
| Professional | $12.82 | $16.80 | $28.00 |