| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.33 | $32.33 | $32.33 | |
Aetna
| Professional | $26.94 | $29.93 | $32.33 | |
BCBS
| Facility | $28.30 | $28.30 | $28.30 | |
BCBS
| Professional | $24.13 | $28.30 | $28.30 | |
Cigna
| Facility | $14.69 | $26.94 | $26.94 | |
Cigna
| Professional | $26.94 | $26.94 | $29.23 | |
United
| Professional | $25.59 | $26.94 | $30.71 |