| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.68 | $19.68 | $19.68 | |
Aetna
| Professional | $31.09 | $31.39 | $31.39 | |
BCBS
| Professional | $96.52 | $113.55 | $113.55 | |
Cigna
| Facility | $17.64 | $17.64 | $17.64 | |
Cigna
| Professional | $19.98 | $19.98 | $26.47 | |
United
| Professional | $40.09 | $40.09 | $40.09 |