| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $34.67 | $81.28 | |
BCBS
| Facility | $46.77 | $46.77 | $46.77 | |
BCBS
| Professional | $46.77 | $46.77 | $46.77 | |
Cigna
| Professional | $19.50 | $19.50 | $38.02 | |
United
| Professional | $19.05 | $19.95 | $23.44 |