| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.29 | $24.29 | $24.29 | |
Aetna
| Professional | $23.61 | $23.61 | $24.29 | |
BCBS
| Professional | $36.38 | $42.80 | $42.80 | |
Cigna
| Facility | $22.27 | $22.27 | $22.27 | |
Cigna
| Professional | $23.61 | $23.61 | $33.40 | |
United
| Professional | $23.61 | $23.61 | $23.61 |