| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $20.89 | $21.88 | |
BCBS
| Facility | $23.99 | $23.99 | $23.99 | |
Cigna
| Facility | $23.99 | $23.99 | $23.99 | |
Cigna
| Professional | $28.18 | $28.18 | $28.18 | |
United
| Professional | $20.89 | $21.38 | $28.18 |