| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.38 | $61.66 | $120.23 | |
Aetna
| Professional | $17.38 | $19.95 | $22.91 | |
BCBS
| Professional | $25.12 | $26.92 | $35.48 | |
Cigna
| Facility | $16.22 | $63.10 | $144.54 | |
Cigna
| Professional | $30.20 | $30.20 | $30.20 | |
Medcost
| Facility | $19.50 | $23.44 | $31.62 | |
United
| Facility | $22.39 | $25.12 | $30.20 | |
United
| Professional | $10.47 | $13.80 | $20.89 |