| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.35 | $55.96 | $252.20 | |
Aetna
| Professional | $11.36 | $11.36 | $20.07 | |
BCBS
| Professional | $11.36 | $11.36 | $11.36 | |
Cigna
| Facility | $11.36 | $11.36 | $11.36 | |
Cigna
| Professional | $11.36 | $11.36 | $139.43 | |
United
| Professional | $11.36 | $11.36 | $11.36 |