| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.30 | $30.30 | $30.30 | |
Aetna
| Professional | $30.23 | $32.95 | $33.25 | |
BCBS
| Professional | $46.25 | $54.41 | $54.41 | |
Cigna
| Facility | $28.52 | $28.52 | $28.52 | |
Cigna
| Professional | $30.23 | $42.78 | $42.78 | |
United
| Professional | $30.23 | $30.23 | $30.23 |