| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.52 | $28.52 | $28.52 | |
Aetna
| Professional | $28.52 | $28.52 | $28.68 | |
BCBS
| Professional | $29.60 | $34.82 | $34.82 | |
Cigna
| Facility | $27.06 | $27.06 | $27.06 | |
Cigna
| Professional | $28.68 | $28.68 | $40.58 | |
United
| Professional | $28.68 | $28.68 | $28.68 |