| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.28 | $21.96 | $28.68 | |
BCBS
| Professional | $34.60 | $34.60 | $34.60 | |
Cigna
| Facility | $23.28 | $23.28 | $30.56 | |
Cigna
| Professional | $23.28 | $23.28 | $40.50 | |
United
| Professional | $11.51 | $18.07 | $27.34 |