| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $23.99 | |
Aetna
| Professional | $16.98 | $23.99 | $28.84 | |
BCBS
| Professional | $20.89 | $20.89 | $20.89 | |
Cigna
| Facility | $53.70 | $53.70 | $53.70 | |
Cigna
| Professional | $13.80 | $13.80 | $13.80 | |
United
| Facility | $22.91 | $22.91 | $22.91 | |
United
| Professional | $9.55 | $14.13 | $22.91 |