| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.50 | $43.50 | $112.50 | |
BCBS
| Facility | $58.02 | $58.02 | $58.02 | |
BCBS
| Professional | $23.75 | $60.00 | $60.00 | |
Cigna
| Professional | $101.00 | $101.00 | $101.00 | |
United
| Professional | $26.48 | $26.48 | $26.75 |