| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.32 | $25.32 | $25.32 | |
Aetna
| Professional | $14.53 | $25.32 | $25.32 | |
BCBS
| Professional | $34.00 | $34.00 | $34.00 | |
Cigna
| Facility | $27.60 | $27.60 | $27.60 | |
Cigna
| Professional | $20.14 | $27.60 | $30.38 | |
United
| Professional | $11.55 | $16.59 | $30.26 |