| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $34.67 | $34.67 | |
Aetna
| Professional | $16.98 | $16.98 | $17.38 | |
BCBS
| Facility | $20.42 | $20.42 | $20.42 | |
Cigna
| Facility | $16.22 | $20.42 | $20.42 | |
Cigna
| Professional | $17.38 | $17.38 | $17.38 | |
United
| Professional | $16.22 | $17.38 | $26.30 |