| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $19.95 | $87.10 | |
BCBS
| Facility | $0.02 | $93.33 | $104.71 | |
BCBS
| Professional | $57.54 | $57.54 | $57.54 | |
Cigna
| Facility | $131.83 | $131.83 | $131.83 | |
United
| Facility | $52.48 | $52.48 | $52.48 | |
United
| Professional | $18.20 | $26.30 | $63.10 |