| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.86 | $17.86 | $17.86 | |
Aetna
| Professional | $17.44 | $17.86 | $17.86 | |
BCBS
| Facility | $19.26 | $19.26 | $19.26 | |
BCBS
| Professional | $19.26 | $19.26 | $19.26 | |
Cigna
| Facility | $19.30 | $19.30 | $19.30 | |
United
| Professional | $18.95 | $21.01 | $21.64 |