| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.02 | $17.94 | $26.63 | |
BCBS
| Professional | $21.52 | $21.52 | $21.52 | |
Cigna
| Facility | $22.28 | $22.28 | $29.25 | |
Cigna
| Professional | $22.28 | $22.28 | $39.75 | |
United
| Professional | $10.76 | $16.78 | $26.82 |