| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.50 | $12.50 | $87.52 | |
Aetna
| Professional | $21.20 | $21.20 | $21.31 | |
BCBS
| Professional | $16.01 | $18.84 | $18.84 | |
Cigna
| Facility | $20.11 | $20.11 | $20.11 | |
Cigna
| Professional | $21.31 | $21.31 | $30.16 | |
United
| Professional | $21.31 | $21.31 | $21.31 |