| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.50 | $26.50 | $26.50 | |
Aetna
| Professional | $26.50 | $26.50 | $27.85 | |
BCBS
| Professional | $73.12 | $86.02 | $86.02 | |
Cigna
| Facility | $22.17 | $22.17 | $22.17 | |
Cigna
| Professional | $27.85 | $27.85 | $33.25 | |
United
| Professional | $27.85 | $27.85 | $31.00 |