| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.93 | $23.93 | $23.93 | |
Aetna
| Professional | $25.77 | $26.02 | $35.38 | |
BCBS
| Professional | $62.57 | $73.61 | $73.61 | |
Cigna
| Facility | $20.23 | $20.23 | $20.23 | |
Cigna
| Professional | $25.77 | $26.31 | $30.36 | |
United
| Professional | $25.77 | $25.77 | $25.77 |