| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.59 | $28.59 | $58.21 | |
BCBS
| Facility | $64.92 | $64.92 | $64.92 | |
BCBS
| Professional | $64.92 | $64.92 | $64.92 | |
Cigna
| Facility | $39.94 | $39.94 | $73.13 | |
Cigna
| Professional | $33.95 | $33.95 | $39.94 | |
United
| Professional | $25.48 | $28.19 | $31.30 |