| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.85 | $20.85 | $20.85 | |
Aetna
| Professional | $19.97 | $21.77 | $21.97 | |
BCBS
| Professional | $22.63 | $26.62 | $26.62 | |
Cigna
| Facility | $18.84 | $18.84 | $18.84 | |
Cigna
| Professional | $19.97 | $28.26 | $28.26 | |
United
| Professional | $19.97 | $19.97 | $19.97 |