| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.64 | $28.38 | $6,110.33 | |
Aetna
| Professional | $23.65 | $26.27 | $31.93 | |
BCBS
| Facility | $19.57 | $19.57 | $19.57 | |
Cigna
| Facility | $23.65 | $23.65 | $27.80 | |
Cigna
| Professional | $23.65 | $23.65 | $23.65 | |
United
| Professional | $22.70 | $23.65 | $30.27 |