| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $37.15 | |
Aetna
| Professional | $23.99 | $23.99 | $23.99 | |
BCBS
| Facility | $24.55 | $24.55 | $24.55 | |
BCBS
| Professional | $24.55 | $24.55 | $24.55 | |
Cigna
| Facility | $27.54 | $27.54 | $27.54 | |
United
| Professional | $28.18 | $29.51 | $33.11 |