| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.51 | $24.51 | $24.51 | |
Aetna
| Professional | $24.51 | $24.73 | $169.20 | |
BCBS
| Professional | $18.46 | $21.72 | $21.72 | |
Cigna
| Facility | $23.11 | $23.11 | $23.11 | |
Cigna
| Professional | $24.50 | $24.50 | $34.67 | |
United
| Professional | $24.50 | $24.50 | $24.50 |