| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.21 | $14.21 | $14.21 | |
Aetna
| Professional | $14.21 | $14.21 | $14.23 | |
BCBS
| Professional | $21.77 | $25.61 | $25.61 | |
Cigna
| Facility | $13.43 | $13.43 | $13.43 | |
Cigna
| Professional | $14.23 | $14.23 | $20.14 | |
United
| Professional | $14.23 | $14.23 | $15.94 |