| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.00 | $28.26 | $57.55 | |
BCBS
| Facility | $64.19 | $64.19 | $64.19 | |
BCBS
| Professional | $64.19 | $64.19 | $64.19 | |
Cigna
| Facility | $39.47 | $39.47 | $72.30 | |
Cigna
| Professional | $33.56 | $33.56 | $39.47 | |
United
| Professional | $25.17 | $27.87 | $30.94 |