| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.26 | $30.43 | $112.67 | |
Aetna
| Professional | $25.27 | $25.27 | $46.56 | |
BCBS
| Professional | $25.27 | $25.27 | $27.53 | |
Cigna
| Facility | $25.27 | $25.27 | $25.27 | |
Cigna
| Professional | $25.27 | $25.27 | $51.66 | |
United
| Professional | $24.08 | $25.27 | $25.27 |