| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $28.18 | |
Aetna
| Professional | $19.05 | $19.05 | $28.18 | |
BCBS
| Facility | $15.14 | $15.14 | $16.60 | |
Cigna
| Facility | $20.42 | $20.42 | $20.42 | |
Cigna
| Professional | $20.42 | $20.42 | $20.42 | |
United
| Facility | $19.95 | $19.95 | $19.95 |