| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.59 | $18.59 | $489.76 | |
Aetna
| Professional | $18.59 | $18.59 | $18.59 | |
BCBS
| Professional | $28.99 | $34.10 | $34.10 | |
Cigna
| Facility | $17.54 | $17.54 | $17.54 | |
Cigna
| Professional | $18.59 | $18.59 | $26.31 | |
United
| Professional | $18.59 | $18.59 | $18.59 |