| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.12 | $4.38 | $4.38 | |
BCBS
| Facility | $26.16 | $26.16 | $26.16 | |
BCBS
| Professional | $26.16 | $26.16 | $26.16 | |
Cigna
| Professional | $13.56 | $13.56 | $22.64 | |
United
| Professional | $11.96 | $11.96 | $11.96 |