| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.41 | $18.41 | $18.41 | |
Aetna
| Professional | $4.05 | $18.41 | $18.41 | |
BCBS
| Professional | $4.50 | $25.50 | $30.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $39.60 | $39.60 | $39.60 | |
United
| Professional | $35.43 | $35.43 | $35.43 |