| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.84 | $18.84 | $18.84 | |
Aetna
| Professional | $18.84 | $18.84 | $20.99 | |
BCBS
| Professional | $17.22 | $20.26 | $20.26 | |
Cigna
| Facility | $19.80 | $19.80 | $19.80 | |
Cigna
| Professional | $20.99 | $20.99 | $29.71 | |
United
| Professional | $20.99 | $20.99 | $20.99 |