| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.54 | $21.54 | $21.54 | |
Aetna
| Professional | $16.67 | $19.55 | $27.61 | |
BCBS
| Facility | $90.91 | $110.32 | $148.41 | |
Cigna
| Facility | $97.61 | $168.28 | $243.24 | |
Cigna
| Professional | $15.53 | $21.53 | $38.20 | |
United
| Professional | $14.07 | $17.57 | $26.32 |