| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $19.95 | $19.95 | |
BCBS
| Facility | $34.67 | $34.67 | $79.43 | |
BCBS
| Professional | $26.30 | $29.51 | $34.67 | |
Cigna
| Professional | $28.84 | $28.84 | $28.84 | |
United
| Professional | $26.30 | $26.30 | $26.30 |