| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.46 | $57.53 | $58.93 | |
BCBS
| Facility | $58.93 | $61.25 | $64.70 | |
BCBS
| Professional | $62.40 | $62.40 | $62.40 | |
Cigna
| Facility | $58.93 | $58.93 | $58.93 | |
Cigna
| Professional | $58.93 | $58.93 | $58.93 | |
United
| Professional | $57.78 | $57.78 | $69.33 |