| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.99 | $23.99 | $26.92 | |
BCBS
| Facility | $26.92 | $26.92 | $26.92 | |
Cigna
| Facility | $22.91 | $26.92 | $26.92 | |
Cigna
| Professional | $23.99 | $23.99 | $23.99 | |
United
| Professional | $23.44 | $23.99 | $25.12 |