| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.86 | $27.86 | $27.86 | |
Aetna
| Professional | $25.59 | $25.59 | $27.86 | |
BCBS
| Professional | $30.44 | $35.81 | $35.81 | |
Cigna
| Facility | $24.14 | $24.14 | $24.14 | |
Cigna
| Professional | $25.59 | $25.59 | $36.21 | |
United
| Professional | $25.59 | $25.59 | $25.59 |