| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.07 | $19.07 | $38.84 | |
BCBS
| Facility | $43.32 | $43.32 | $43.32 | |
BCBS
| Professional | $43.32 | $43.32 | $43.32 | |
Cigna
| Facility | $26.66 | $26.66 | $46.64 | |
Cigna
| Professional | $22.66 | $22.66 | $26.66 | |
United
| Professional | $17.00 | $18.82 | $20.89 |