| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.19 | $32.99 | $63.12 | |
Aetna
| Professional | $19.00 | $19.19 | $110.76 | |
BCBS
| Facility | $27.28 | $27.28 | $40.92 | |
BCBS
| Professional | $27.28 | $27.28 | $27.83 | |
Cigna
| Facility | $13.34 | $13.34 | $19.00 | |
Cigna
| Professional | $19.00 | $19.00 | $19.00 | |
United
| Professional | $17.10 | $19.00 | $23.75 |