| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.61 | $28.61 | $28.61 | |
Aetna
| Professional | $17.69 | $27.52 | $47.06 | |
BCBS
| Facility | $262.69 | $262.69 | $291.88 | |
Cigna
| Professional | $22.28 | $22.28 | $22.28 | |
United
| Professional | $16.00 | $45.00 | $61.00 |