| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $12.88 | $12.88 | |
BCBS
| Facility | $17.38 | $17.38 | $17.38 | |
Cigna
| Facility | $12.30 | $17.38 | $17.38 | |
Cigna
| Professional | $12.88 | $12.88 | $12.88 | |
United
| Professional | $12.30 | $12.88 | $19.95 |