| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.21 | $29.21 | $29.21 | |
Aetna
| Professional | $15.23 | $29.21 | $29.21 | |
BCBS
| Professional | $29.09 | $29.09 | $29.09 | |
Cigna
| Facility | $22.22 | $22.22 | $22.22 | |
Cigna
| Professional | $16.22 | $22.22 | $23.68 | |
United
| Professional | $12.91 | $19.37 | $28.58 |