| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.25 | $23.25 | $47.35 | |
BCBS
| Facility | $52.81 | $52.81 | $52.81 | |
BCBS
| Professional | $52.81 | $52.81 | $52.81 | |
Cigna
| Facility | $35.60 | $35.60 | $59.49 | |
Cigna
| Professional | $25.99 | $25.99 | $35.59 | |
United
| Professional | $23.52 | $24.28 | $27.44 |