| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.29 | $20.00 | $28.08 | |
BCBS
| Facility | $22.77 | $22.77 | $22.77 | |
BCBS
| Professional | $22.77 | $22.77 | $22.77 | |
Cigna
| Professional | $9.51 | $9.51 | $18.64 | |
United
| Professional | $9.88 | $9.88 | $10.58 |