| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $28.18 | $38.90 | |
BCBS
| Facility | $44.67 | $44.67 | $44.67 | |
BCBS
| Professional | $44.67 | $44.67 | $44.67 | |
Cigna
| Facility | $28.18 | $28.18 | $50.12 | |
Cigna
| Professional | $20.89 | $20.89 | $40.74 | |
United
| Facility | $30.90 | $30.90 | $36.31 | |
United
| Professional | $17.78 | $19.05 | $33.88 |