| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.64 | $21.35 | $25.72 | |
BCBS
| Facility | $28.69 | $28.69 | $28.69 | |
BCBS
| Professional | $28.69 | $28.69 | $28.69 | |
Cigna
| Professional | $15.00 | $15.00 | $24.63 | |
United
| Professional | $11.26 | $12.46 | $12.46 |