| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.70 | $26.41 | $160.57 | |
Aetna
| Professional | $26.41 | $26.41 | $27.09 | |
BCBS
| Professional | $33.86 | $35.54 | $46.73 | |
Cigna
| Facility | $22.56 | $68.67 | $193.07 | |
Medcost
| Facility | $26.41 | $33.86 | $40.97 | |
United
| Professional | $14.22 | $19.30 | $33.86 |