| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.02 | $3.02 | $6.92 | |
Aetna
| Professional | $3.02 | $3.02 | $3.80 | |
BCBS
| Professional | $15.14 | $30.20 | $40.74 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $2.69 | $39.81 | $39.81 | |
United
| Professional | $3.24 | $3.24 | $50.12 |