| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.30 | $45.00 | $136.07 | |
Aetna
| Professional | $15.30 | $15.30 | $29.12 | |
BCBS
| Professional | $15.30 | $15.30 | $27.14 | |
Cigna
| Facility | $15.30 | $15.30 | $15.30 | |
Cigna
| Professional | $3.96 | $15.30 | $15.30 | |
United
| Professional | $15.30 | $15.30 | $15.30 |