| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.76 | $19.76 | $19.76 | |
Aetna
| Professional | $21.70 | $21.92 | $25.17 | |
BCBS
| Professional | $67.64 | $79.58 | $79.58 | |
Cigna
| Facility | $20.47 | $20.47 | $20.47 | |
Cigna
| Professional | $21.70 | $26.61 | $30.71 | |
United
| Professional | $21.70 | $21.70 | $21.70 |