| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.12 | $35.81 | $35.81 | |
Aetna
| Professional | $29.34 | $29.84 | $35.81 | |
BCBS
| Facility | $26.53 | $26.53 | $26.53 | |
BCBS
| Professional | $26.38 | $26.53 | $26.53 | |
Cigna
| Facility | $28.15 | $29.84 | $29.84 | |
Cigna
| Professional | $29.84 | $29.84 | $29.84 | |
United
| Professional | $29.84 | $29.84 | $76.19 |