| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.99 | $21.99 | $21.99 | |
Aetna
| Professional | $19.00 | $19.19 | $20.90 | |
BCBS
| Professional | $90.07 | $105.97 | $105.97 | |
Cigna
| Facility | $13.34 | $13.34 | $13.34 | |
Cigna
| Professional | $19.00 | $19.00 | $20.01 | |
United
| Professional | $19.00 | $19.00 | $19.00 |