| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $2.00 | $2.00 | $7.59 | |
BCBS
| Professional | $3.47 | $4.07 | $4.07 | |
Cigna
| Facility | $2.45 | $2.45 | $2.45 | |
Cigna
| Professional | $2.57 | $2.95 | $3.63 | |
United
| Professional | $2.57 | $2.57 | $2.75 |