| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.26 | $15.26 | $27.68 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Facility | $27.60 | $27.60 | $27.60 | |
Cigna
| Professional | $20.14 | $20.14 | $27.60 | |
United
| Professional | $16.34 | $17.32 | $20.94 |