| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $15.85 | $31.79 | |
BCBS
| Facility | $35.46 | $35.46 | $35.46 | |
BCBS
| Professional | $35.46 | $35.46 | $35.46 | |
Cigna
| Facility | $22.13 | $22.13 | $40.54 | |
Cigna
| Professional | $18.80 | $18.80 | $22.13 | |
United
| Professional | $14.13 | $15.62 | $17.35 |