| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.75 | $18.23 | $125.08 | |
BCBS
| Facility | $28.17 | $28.17 | $28.17 | |
BCBS
| Professional | $27.00 | $27.00 | $27.00 | |
Cigna
| Professional | $19.00 | $25.00 | $50.96 | |
United
| Professional | $23.82 | $120.21 | $223.57 |