| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $22.91 | $22.91 | |
Aetna
| Professional | $19.32 | $19.32 | $22.91 | |
BCBS
| Professional | $21.80 | $25.65 | $25.65 | |
Cigna
| Facility | $18.23 | $18.23 | $18.23 | |
Cigna
| Professional | $19.32 | $19.32 | $27.35 | |
United
| Professional | $19.32 | $19.32 | $19.32 |