| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.75 | $30.75 | $30.75 | |
Aetna
| Professional | $30.75 | $30.75 | $52.37 | |
BCBS
| Facility | $36.03 | $43.72 | $58.82 | |
Cigna
| Professional | $39.69 | $39.69 | $39.69 | |
United
| Professional | $24.28 | $24.28 | $27.44 |