| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.18 | $23.18 | $44.33 | |
Aetna
| Professional | $23.18 | $28.98 | $28.98 | |
BCBS
| Facility | $25.36 | $25.49 | $25.81 | |
Cigna
| Professional | $24.63 | $24.63 | $24.63 | |
Medica
| Facility | $23.18 | $23.18 | $69.54 | |
United
| Facility | $25.05 | $25.05 | $25.05 |