| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.19 | $31.20 | $31.20 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $33.14 | $33.14 | $33.14 | |
Cigna
| Professional | $33.14 | $33.14 | $33.14 | |
United
| Professional | $0.50 | $0.50 | $28.49 |