| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.78 | $19.37 | $25.10 | |
BCBS
| Facility | $25.46 | $25.46 | $25.46 | |
BCBS
| Professional | $25.46 | $25.46 | $25.46 | |
Cigna
| Facility | $21.16 | $21.16 | $31.51 | |
Cigna
| Professional | $17.98 | $21.16 | $25.46 | |
United
| Professional | $10.66 | $17.63 | $39.97 |