| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.05 | $16.71 | $20.42 | |
BCBS
| Facility | $54.00 | $54.00 | $54.00 | |
BCBS
| Professional | $54.00 | $54.00 | $54.00 | |
Cigna
| Professional | $16.22 | $16.22 | $19.64 | |
United
| Professional | $11.50 | $12.77 | $12.77 |