| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.62 | $12.62 | $22.10 | |
BCBS
| Facility | $24.64 | $24.64 | $24.64 | |
BCBS
| Professional | $24.64 | $24.64 | $24.64 | |
Cigna
| Facility | $16.89 | $16.89 | $30.73 | |
Cigna
| Professional | $12.34 | $12.34 | $16.89 | |
United
| Professional | $11.38 | $16.78 | $19.39 |