| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.47 | $18.47 | $37.61 | |
BCBS
| Facility | $41.95 | $41.95 | $41.95 | |
BCBS
| Professional | $41.95 | $41.95 | $41.95 | |
Cigna
| Facility | $25.81 | $25.81 | $47.26 | |
Cigna
| Professional | $21.94 | $21.94 | $25.81 | |
United
| Professional | $16.47 | $18.22 | $20.22 |