| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.78 | $15.78 | $24.66 | |
BCBS
| Facility | $27.51 | $27.51 | $27.51 | |
BCBS
| Professional | $27.51 | $27.51 | $27.51 | |
Cigna
| Facility | $15.80 | $15.80 | $29.93 | |
Cigna
| Professional | $11.53 | $11.53 | $15.80 | |
United
| Professional | $11.40 | $12.61 | $14.00 |