| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.68 | $12.68 | $12.68 | |
Aetna
| Professional | $10.00 | $12.68 | $27.50 | |
BCBS
| Facility | $10.00 | $10.00 | $10.00 | |
BCBS
| Professional | $1.00 | $7.00 | $10.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $8.50 | $8.50 | $8.50 | |
United
| Professional | $50.00 | $70.00 | $70.00 |