| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.47 | $119.47 | $119.47 | |
Aetna
| Professional | $25.33 | $25.33 | $119.47 | |
BCBS
| Professional | $33.09 | $38.93 | $38.93 | |
Cigna
| Facility | $23.90 | $23.90 | $23.90 | |
Cigna
| Professional | $25.33 | $25.33 | $35.85 | |
United
| Professional | $25.33 | $25.33 | $28.20 |