| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.63 | $24.63 | $24.63 | |
Aetna
| Professional | $23.76 | $24.63 | $24.63 | |
BCBS
| Facility | $121.72 | $267.12 | $473.83 | |
Cigna
| Facility | $24.63 | $24.63 | $24.63 | |
Cigna
| Professional | $24.63 | $24.63 | $24.63 | |
United
| Facility | $25.05 | $25.05 | $25.05 |