| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.90 | $30.44 | $36.68 | |
BCBS
| Facility | $40.90 | $40.90 | $40.90 | |
BCBS
| Professional | $40.90 | $40.90 | $40.90 | |
Cigna
| Professional | $17.09 | $17.09 | $33.61 | |
United
| Professional | $17.77 | $17.77 | $19.00 |