| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.16 | $28.52 | $58.09 | |
BCBS
| Facility | $64.78 | $64.78 | $64.78 | |
BCBS
| Professional | $64.78 | $64.78 | $64.78 | |
Cigna
| Facility | $39.86 | $39.86 | $72.95 | |
Cigna
| Professional | $33.88 | $33.88 | $39.86 | |
United
| Professional | $25.42 | $28.13 | $31.23 |