| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.23 | $17.23 | $17.23 | |
Aetna
| Professional | $17.23 | $17.23 | $19.84 | |
BCBS
| Professional | $40.49 | $47.64 | $47.64 | |
Cigna
| Facility | $18.72 | $18.72 | $18.72 | |
Cigna
| Professional | $19.84 | $19.84 | $28.08 | |
United
| Professional | $19.84 | $19.84 | $19.84 |