| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.95 | $18.95 | $18.95 | |
Aetna
| Professional | $18.95 | $18.95 | $22.02 | |
BCBS
| Professional | $37.26 | $43.83 | $43.83 | |
Cigna
| Facility | $20.77 | $20.77 | $20.77 | |
Cigna
| Professional | $22.02 | $22.02 | $31.16 | |
United
| Professional | $22.02 | $22.02 | $22.02 |