| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.44 | $30.44 | $30.44 | |
Aetna
| Professional | $30.44 | $30.44 | $33.47 | |
BCBS
| Professional | $29.84 | $29.84 | $29.84 | |
Cigna
| Facility | $33.42 | $33.42 | $33.42 | |
Cigna
| Professional | $33.42 | $33.42 | $46.58 | |
United
| Professional | $30.74 | $34.74 | $35.81 |