| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.67 | $18.68 | $18.68 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $20.65 | $20.65 | $20.65 | |
Cigna
| Professional | $20.65 | $20.65 | $20.65 | |
United
| Professional | $0.50 | $19.84 | $21.98 |