| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.44 | $20.44 | $20.44 | |
Aetna
| Professional | $17.28 | $20.44 | $31.70 | |
BCBS
| Professional | $160.00 | $160.00 | $160.00 | |
Cigna
| Professional | $25.50 | $25.50 | $30.90 | |
United
| Facility | $38.88 | $38.88 | $45.74 | |
United
| Professional | $12.86 | $32.20 | $47.54 |