| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $52.48 | $52.48 | |
BCBS
| Facility | $58.88 | $58.88 | $58.88 | |
BCBS
| Professional | $58.88 | $58.88 | $58.88 | |
Cigna
| Professional | $21.38 | $21.38 | $60.26 | |
United
| Facility | $48.98 | $48.98 | $48.98 | |
United
| Professional | $35.48 | $35.48 | $35.48 |