| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.02 | $27.02 | $37.83 | |
Aetna
| Professional | $27.02 | $27.02 | $27.02 | |
BCBS
| Facility | $24.32 | $24.32 | $36.47 | |
BCBS
| Professional | $24.32 | $24.32 | $24.81 | |
Cigna
| Facility | $22.97 | $22.97 | $22.97 | |
Cigna
| Professional | $22.97 | $22.97 | $22.97 | |
United
| Professional | $22.52 | $22.52 | $27.02 |