| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.52 | $28.52 | $28.52 | |
Aetna
| Professional | $28.52 | $28.52 | $31.37 | |
BCBS
| Professional | $32.61 | $38.38 | $38.38 | |
Cigna
| Facility | $26.90 | $26.90 | $26.90 | |
Cigna
| Professional | $28.52 | $34.97 | $40.35 | |
United
| Professional | $28.52 | $28.52 | $28.52 |