| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.02 | $14.13 | $19.05 | |
BCBS
| Facility | $0.02 | $173.78 | $288.40 | |
BCBS
| Professional | $25.70 | $28.84 | $33.88 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $25.70 | $25.70 | $25.70 | |
United
| Professional | $13.49 | $19.95 | $27.54 |