| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.20 | $16.20 | $16.20 | |
Aetna
| Professional | $16.20 | $16.20 | $27.86 | |
BCBS
| Professional | $18.95 | $18.95 | $18.95 | |
Cigna
| Facility | $16.20 | $16.20 | $16.20 | |
Cigna
| Professional | $16.20 | $16.20 | $29.02 | |
United
| Professional | $16.20 | $16.20 | $16.20 |