| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.57 | $27.67 | $33.34 | |
BCBS
| Facility | $37.18 | $37.18 | $37.18 | |
BCBS
| Professional | $37.18 | $37.18 | $37.18 | |
Cigna
| Professional | $19.44 | $19.44 | $32.29 | |
United
| Professional | $14.59 | $16.14 | $16.14 |