| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.23 | $22.23 | $22.23 | |
Aetna
| Professional | $17.34 | $21.56 | $25.56 | |
BCBS
| Professional | $44.00 | $44.00 | $51.92 | |
Cigna
| Professional | $17.09 | $22.51 | $59.01 | |
United
| Professional | $13.34 | $22.23 | $33.35 |