| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.80 | $13.80 | $13.80 | |
Aetna
| Professional | $12.88 | $12.88 | $23.44 | |
BCBS
| Professional | $25.70 | $30.20 | $30.20 | |
Cigna
| Facility | $12.88 | $12.88 | $12.88 | |
Cigna
| Professional | $13.80 | $13.80 | $19.50 | |
United
| Professional | $13.80 | $13.80 | $13.80 |