| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $16.98 | $20.89 | |
BCBS
| Facility | $24.55 | $24.55 | $24.55 | |
BCBS
| Professional | $24.55 | $24.55 | $24.55 | |
Cigna
| Professional | $10.23 | $10.23 | $19.95 | |
United
| Professional | $10.00 | $10.47 | $12.30 |