| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.69 | $21.69 | $33.90 | |
BCBS
| Facility | $37.82 | $37.82 | $37.82 | |
BCBS
| Professional | $37.82 | $37.82 | $37.82 | |
Cigna
| Facility | $21.38 | $21.38 | $41.92 | |
Cigna
| Professional | $15.61 | $15.61 | $21.38 | |
United
| Professional | $15.43 | $17.05 | $25.71 |