| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.51 | $31.45 | $37.89 | |
BCBS
| Facility | $42.26 | $42.26 | $42.26 | |
BCBS
| Professional | $42.26 | $42.26 | $42.26 | |
Cigna
| Professional | $22.09 | $22.09 | $36.61 | |
United
| Professional | $15.00 | $15.00 | $15.00 |