| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.00 | $21.00 | $21.00 | |
Aetna
| Professional | $9.83 | $11.38 | $21.00 | |
BCBS
| Facility | $30.15 | $42.75 | $48.27 | |
BCBS
| Professional | $13.97 | $13.97 | $19.95 | |
Cigna
| Professional | $8.71 | $8.71 | $8.71 | |
United
| Professional | $8.13 | $11.73 | $17.73 |