| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.43 | $22.43 | $45.68 | |
BCBS
| Facility | $50.94 | $50.94 | $50.94 | |
BCBS
| Professional | $50.94 | $50.94 | $50.94 | |
Cigna
| Facility | $34.45 | $34.45 | $57.38 | |
Cigna
| Professional | $21.28 | $29.28 | $34.45 | |
United
| Professional | $19.98 | $22.12 | $24.55 |