| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.09 | $26.09 | $26.09 | |
Aetna
| Professional | $26.94 | $29.37 | $29.64 | |
BCBS
| Professional | $69.36 | $81.59 | $81.59 | |
Cigna
| Facility | $25.42 | $25.42 | $25.42 | |
Cigna
| Professional | $26.94 | $38.13 | $38.13 | |
United
| Professional | $26.94 | $26.94 | $26.94 |