| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.67 | $18.69 | $22.52 | |
BCBS
| Facility | $25.12 | $25.12 | $25.12 | |
BCBS
| Professional | $25.12 | $25.12 | $25.12 | |
Cigna
| Professional | $10.49 | $10.49 | $20.64 | |
United
| Professional | $10.91 | $10.91 | $11.66 |