| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.63 | $23.63 | $23.63 | |
Aetna
| Professional | $23.63 | $23.63 | $23.65 | |
BCBS
| Professional | $23.66 | $27.84 | $27.84 | |
Cigna
| Facility | $22.31 | $22.31 | $22.31 | |
Cigna
| Professional | $23.65 | $23.65 | $33.47 | |
United
| Professional | $23.65 | $23.65 | $23.65 |