| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.25 | $29.82 | $35.93 | |
BCBS
| Facility | $40.08 | $40.08 | $40.08 | |
BCBS
| Professional | $40.08 | $40.08 | $40.08 | |
Cigna
| Professional | $20.95 | $20.95 | $34.61 | |
United
| Professional | $15.73 | $17.39 | $17.39 |