| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.30 | $29.30 | $29.30 | |
Aetna
| Professional | $30.01 | $30.30 | $78.12 | |
BCBS
| Professional | $31.37 | $36.90 | $36.90 | |
Cigna
| Facility | $28.31 | $28.31 | $28.31 | |
Cigna
| Professional | $30.01 | $30.01 | $42.47 | |
United
| Professional | $30.01 | $30.01 | $30.01 |