| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.95 | $21.66 | $28.51 | |
BCBS
| Facility | $67.95 | $91.79 | $108.67 | |
BCBS
| Professional | $26.69 | $31.40 | $43.47 | |
Cigna
| Facility | $27.80 | $29.97 | $29.97 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
United
| Professional | $16.32 | $23.98 | $39.96 |