| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.44 | $17.44 | $17.44 | |
Aetna
| Professional | $17.44 | $17.44 | $17.62 | |
BCBS
| Professional | $21.25 | $25.00 | $25.00 | |
Cigna
| Facility | $16.62 | $16.62 | $16.62 | |
Cigna
| Professional | $17.62 | $17.62 | $24.93 | |
United
| Professional | $17.62 | $17.62 | $17.62 |