| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.00 | $52.00 | $52.00 | |
Aetna
| Professional | $13.60 | $76.66 | $76.66 | |
BCBS
| Facility | $28.45 | $28.45 | $31.61 | |
Cigna
| Facility | $14.00 | $14.00 | $14.00 | |
Cigna
| Professional | $14.00 | $14.00 | $14.00 | |
United
| Professional | $16.00 | $16.00 | $16.00 |