| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $18.20 | $19.05 | |
BCBS
| Facility | $20.42 | $20.42 | $20.42 | |
Cigna
| Facility | $17.38 | $20.42 | $20.42 | |
Cigna
| Professional | $18.20 | $18.20 | $18.20 | |
United
| Professional | $17.38 | $20.42 | $25.12 |