| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.63 | $34.34 | $152.19 | |
BCBS
| Facility | $41.20 | $41.20 | $41.20 | |
BCBS
| Professional | $41.20 | $41.20 | $41.20 | |
Cigna
| Facility | $36.44 | $36.44 | $55.74 | |
Cigna
| Professional | $30.97 | $36.44 | $43.43 | |
United
| Professional | $17.54 | $28.47 | $50.13 |