| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.53 | $34.53 | $34.53 | |
Aetna
| Professional | $15.17 | $34.53 | $39.94 | |
BCBS
| Professional | $29.00 | $29.00 | $29.00 | |
Cigna
| Professional | $19.38 | $19.38 | $19.38 | |
United
| Professional | $13.43 | $21.22 | $32.65 |