| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $21.88 | $83.18 | |
BCBS
| Facility | $28.84 | $28.84 | $28.84 | |
Cigna
| Facility | $21.88 | $28.84 | $28.84 | |
Cigna
| Professional | $22.91 | $22.91 | $22.91 | |
United
| Professional | $22.91 | $22.91 | $31.62 |