| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $14.13 | $125.89 | |
BCBS
| Professional | $30.20 | $30.20 | $30.20 | |
Cigna
| Professional | $19.05 | $19.95 | $24.55 | |
United
| Facility | $23.99 | $23.99 | $53.70 | |
United
| Professional | $23.99 | $117.49 | $194.98 |