| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.46 | $14.46 | $14.46 | |
Aetna
| Professional | $16.22 | $16.22 | $16.22 | |
BCBS
| Professional | $49.11 | $57.78 | $57.78 | |
Cigna
| Facility | $15.30 | $15.30 | $15.30 | |
Cigna
| Professional | $16.22 | $16.22 | $22.95 | |
United
| Professional | $6.49 | $16.22 | $16.22 |