| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.46 | $16.22 | $16.22 | |
Aetna
| Professional | $16.22 | $16.22 | $17.54 | |
BCBS
| Professional | $92.33 | $92.33 | $92.33 | |
Cigna
| Facility | $16.22 | $16.22 | $16.22 | |
Cigna
| Professional | $16.22 | $16.22 | $84.57 | |
United
| Professional | $6.49 | $16.22 | $16.22 |