| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $20.89 | $26.92 | |
BCBS
| Facility | $30.90 | $30.90 | $30.90 | |
BCBS
| Professional | $30.90 | $30.90 | $30.90 | |
Cigna
| Professional | $16.22 | $16.22 | $26.92 | |
United
| Professional | $12.30 | $13.49 | $15.85 |