| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.54 | $27.54 | $27.54 | |
Aetna
| Professional | $26.92 | $4,073.80 | $5,128.61 | |
BCBS
| Professional | $77.62 | $91.20 | $91.20 | |
Cigna
| Facility | $25.12 | $25.12 | $25.12 | |
Cigna
| Professional | $27.54 | $27.54 | $38.02 | |
United
| Facility | $26.92 | $26.92 | $56.23 | |
United
| Professional | $27.54 | $27.54 | $27.54 |