| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.60 | $29.60 | $29.60 | |
Aetna
| Professional | $23.88 | $24.12 | $26.26 | |
BCBS
| Professional | $44.00 | $51.77 | $51.77 | |
Cigna
| Facility | $22.53 | $22.53 | $22.53 | |
Cigna
| Professional | $23.88 | $29.28 | $33.79 | |
United
| Professional | $23.88 | $23.88 | $23.88 |