| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.84 | $75.84 | $75.84 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $83.29 | $83.29 | $83.29 | |
Cigna
| Professional | $83.29 | $83.29 | $83.29 | |
United
| Professional | $74.37 | $94.35 | $94.35 |