| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.98 | $19.35 | $23.20 | |
BCBS
| Facility | $24.46 | $24.46 | $24.46 | |
BCBS
| Professional | $24.46 | $24.46 | $24.46 | |
Cigna
| Professional | $15.09 | $15.09 | $24.97 | |
United
| Professional | $12.12 | $13.15 | $13.21 |