| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.00 | $20.01 | $50.00 | |
BCBS
| Professional | $10.05 | $26.25 | $26.25 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $0.51 | $0.51 | $0.51 | |
United
| Professional | $42.57 | $42.57 | $43.45 |