| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.00 | $54.00 | $99.43 | |
BCBS
| Professional | $25.92 | $25.92 | $41.99 | |
Cigna
| Facility | $31.91 | $31.91 | $31.91 | |
Cigna
| Professional | $27.12 | $31.91 | $31.91 | |
United
| Professional | $20.48 | $24.79 | $41.32 |