| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.72 | $21.72 | $33.96 | |
BCBS
| Facility | $37.86 | $37.86 | $37.86 | |
BCBS
| Professional | $37.86 | $37.86 | $37.86 | |
Cigna
| Facility | $24.80 | $24.80 | $41.99 | |
Cigna
| Professional | $18.10 | $18.10 | $24.80 | |
United
| Professional | $15.45 | $17.09 | $26.16 |