| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.20 | $36.45 | $254.80 | |
Aetna
| Professional | $5.20 | $59.43 | $59.43 | |
BCBS
| Professional | $21.42 | $25.20 | $25.20 | |
Cigna
| Facility | $4.76 | $4.76 | $4.76 | |
Cigna
| Professional | $5.05 | $5.05 | $7.15 | |
United
| Professional | $5.05 | $5.05 | $57.79 |