| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
BCBS
| Facility | $36.93 | $36.93 | $36.93 | |
BCBS
| Professional | $36.93 | $36.93 | $36.93 | |
Cigna
| Professional | $14.68 | $14.68 | $37.61 | |
United
| Professional | $22.16 | $22.16 | $22.16 |