| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.14 | $13.14 | $23.01 | |
BCBS
| Facility | $25.66 | $25.66 | $25.66 | |
BCBS
| Professional | $25.66 | $25.66 | $25.66 | |
Cigna
| Facility | $16.62 | $16.62 | $27.97 | |
Cigna
| Professional | $12.13 | $12.13 | $16.62 | |
United
| Professional | $11.21 | $16.54 | $19.11 |