| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.51 | $23.43 | $167.95 | |
Aetna
| Professional | $19.52 | $23.43 | $167.64 | |
BCBS
| Facility | $14.37 | $14.37 | $14.37 | |
Cigna
| Facility | $5.78 | $19.52 | $19.52 | |
Cigna
| Professional | $19.52 | $19.52 | $19.52 | |
United
| Professional | $18.73 | $19.52 | $25.38 |