| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.08 | $21.08 | $21.08 | |
BCBS
| Facility | $45.23 | $45.23 | $45.23 | |
BCBS
| Professional | $45.23 | $45.23 | $45.23 | |
Cigna
| Facility | $13.00 | $13.00 | $13.00 | |
United
| Professional | $8.48 | $8.93 | $10.74 |