| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.37 | $33.63 | $405.97 | |
Aetna
| Professional | $25.37 | $29.73 | $34.25 | |
BCBS
| Facility | $102.32 | $102.32 | $112.55 | |
Cigna
| Facility | $25.37 | $25.37 | $51.72 | |
Cigna
| Professional | $25.37 | $25.37 | $25.37 | |
United
| Professional | $24.36 | $25.37 | $32.97 |