| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $36.31 | |
Aetna
| Professional | $19.05 | $19.05 | $19.05 | |
BCBS
| Professional | $9.77 | $30.20 | $40.74 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $14.13 | $17.38 | $39.81 | |
United
| Professional | $12.88 | $12.88 | $54.95 |