| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
BCBS
| Facility | $15.14 | $15.14 | $15.14 | |
BCBS
| Professional | $52.48 | $151.36 | $151.36 | |
Cigna
| Facility | $9.77 | $64.57 | $104.71 | |
Cigna
| Professional | $81.28 | $102.33 | $104.71 | |
United
| Professional | $34.67 | $39.81 | $60.26 |