| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.52 | $39.93 | $84.99 | |
Aetna
| Professional | $28.52 | $28.52 | $34.22 | |
BCBS
| Facility | $25.91 | $30.40 | $34.99 | |
BCBS
| Professional | $34.54 | $34.54 | $35.22 | |
Cigna
| Facility | $26.90 | $26.90 | $28.52 | |
Cigna
| Professional | $28.52 | $28.52 | $28.52 | |
United
| Professional | $25.67 | $28.52 | $32.95 |