| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.88 | $56.71 | $71.65 | |
BCBS
| Facility | $80.14 | $80.14 | $80.14 | |
BCBS
| Professional | $80.14 | $80.14 | $80.14 | |
Cigna
| Facility | $44.10 | $44.10 | $85.94 | |
Cigna
| Professional | $37.49 | $44.10 | $68.56 | |
United
| Professional | $28.33 | $45.65 | $89.74 |