| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.84 | $55.89 | $95.00 | |
BCBS
| Facility | $79.68 | $79.68 | $79.68 | |
BCBS
| Professional | $79.68 | $79.68 | $79.68 | |
Cigna
| Facility | $57.54 | $57.54 | $90.04 | |
Cigna
| Professional | $48.91 | $57.54 | $75.52 | |
United
| Professional | $28.34 | $49.59 | $104.13 |