| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.50 | $25.20 | $34.02 | |
Aetna
| Professional | $25.20 | $25.20 | $30.24 | |
BCBS
| Professional | $25.20 | $25.20 | $25.20 | |
Cigna
| Facility | $25.20 | $25.20 | $25.20 | |
Cigna
| Professional | $25.20 | $25.20 | $31.86 | |
United
| Professional | $21.42 | $25.20 | $28.80 |