| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.88 | $30.31 | $38.84 | |
BCBS
| Professional | $33.34 | $33.34 | $33.34 | |
Cigna
| Facility | $25.20 | $25.20 | $25.20 | |
Cigna
| Professional | $25.20 | $25.20 | $62.63 | |
United
| Professional | $16.39 | $24.59 | $45.56 |