| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.91 | $16.91 | $24.66 | |
BCBS
| Professional | $22.85 | $22.85 | $63.13 | |
Cigna
| Professional | $22.32 | $22.32 | $22.32 | |
Medcost
| Facility | $21.68 | $25.42 | $52.00 | |
United
| Professional | $14.38 | $18.61 | $52.34 |