| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.97 | $19.97 | $24.25 | |
BCBS
| Facility | $24.30 | $24.30 | $24.30 | |
BCBS
| Professional | $24.30 | $24.30 | $24.30 | |
Cigna
| Facility | $21.85 | $21.85 | $32.49 | |
Cigna
| Professional | $18.57 | $21.85 | $28.68 | |
United
| Professional | $10.35 | $15.52 | $29.57 |