| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.45 | $24.28 | $25.71 | |
BCBS
| Professional | $23.26 | $23.26 | $23.26 | |
Cigna
| Facility | $21.27 | $21.27 | $21.27 | |
Cigna
| Professional | $21.27 | $21.27 | $37.50 | |
United
| Professional | $10.75 | $16.19 | $27.26 |