| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.58 | $15.58 | $15.58 | |
Aetna
| Professional | $15.58 | $15.58 | $16.07 | |
BCBS
| Professional | $66.77 | $78.55 | $78.55 | |
Cigna
| Facility | $15.17 | $15.17 | $15.17 | |
Cigna
| Professional | $16.07 | $16.07 | $22.75 | |
United
| Professional | $16.07 | $16.07 | $16.07 |