| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.84 | $19.84 | $35.99 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Facility | $30.29 | $30.29 | $30.29 | |
Cigna
| Professional | $22.11 | $22.11 | $30.29 | |
United
| Professional | $21.24 | $22.52 | $27.35 |