| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.72 | $21.15 | $36.65 | |
BCBS
| Facility | $80.54 | $108.78 | $128.78 | |
BCBS
| Professional | $25.44 | $29.93 | $50.07 | |
Cigna
| Facility | $26.44 | $26.44 | $26.44 | |
Cigna
| Professional | $23.24 | $23.24 | $23.24 | |
United
| Professional | $18.95 | $32.53 | $47.37 |