| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $22.91 | $22.91 | |
Aetna
| Professional | $21.88 | $21.88 | $38.90 | |
BCBS
| Professional | $22.91 | $22.91 | $30.90 | |
Cigna
| Facility | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $22.91 | $22.91 | $74.13 | |
United
| Facility | $23.44 | $23.44 | $51.29 | |
United
| Professional | $22.91 | $22.91 | $24.55 |