| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $20.89 | $22.91 | |
BCBS
| Professional | $30.90 | $38.90 | $79.43 | |
Cigna
| Facility | $50.12 | $50.12 | $50.12 | |
United
| Facility | $25.12 | $25.12 | $25.12 | |
United
| Professional | $10.47 | $10.47 | $25.12 |