| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.80 | $30.80 | $30.80 | |
Aetna
| Professional | $28.61 | $28.61 | $30.80 | |
BCBS
| Professional | $81.59 | $96.00 | $96.00 | |
Cigna
| Facility | $26.99 | $26.99 | $26.99 | |
Cigna
| Professional | $28.61 | $28.61 | $40.49 | |
United
| Professional | $28.61 | $28.61 | $28.61 |