| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.56 | $13.56 | $27.41 | |
BCBS
| Facility | $30.56 | $30.56 | $30.56 | |
BCBS
| Professional | $30.56 | $30.56 | $30.56 | |
Cigna
| Facility | $18.95 | $18.95 | $34.42 | |
Cigna
| Professional | $16.11 | $16.11 | $18.95 | |
United
| Professional | $12.09 | $13.37 | $14.85 |