| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $19.95 | $20.89 | |
BCBS
| Facility | $24.55 | $24.55 | $24.55 | |
Cigna
| Facility | $19.50 | $24.55 | $24.55 | |
Cigna
| Professional | $20.89 | $20.89 | $20.89 | |
United
| Professional | $20.89 | $20.89 | $47.86 |