| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.17 | $24.17 | $24.17 | |
BCBS
| Professional | $35.00 | $44.00 | $44.00 | |
Cigna
| Facility | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $23.68 | $32.42 | $46.69 | |
United
| Professional | $30.60 | $40.79 | $78.53 |