| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.61 | $23.61 | $24.29 | |
Aetna
| Professional | $23.61 | $23.61 | $41.77 | |
BCBS
| Professional | $23.61 | $23.61 | $31.67 | |
Cigna
| Facility | $23.61 | $23.61 | $23.61 | |
Cigna
| Professional | $23.61 | $23.61 | $37.92 | |
United
| Professional | $23.61 | $23.61 | $23.61 |