| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.61 | $17.61 | $17.61 | |
Aetna
| Professional | $16.98 | $17.61 | $29.29 | |
BCBS
| Facility | $208.60 | $253.15 | $340.57 | |
Cigna
| Professional | $32.21 | $32.21 | $32.21 | |
United
| Professional | $20.72 | $20.72 | $20.72 |