| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $30.20 | $37.15 | |
BCBS
| Facility | $38.90 | $38.90 | $38.90 | |
BCBS
| Professional | $38.90 | $38.90 | $38.90 | |
Cigna
| Facility | $31.62 | $31.62 | $41.69 | |
Cigna
| Professional | $26.92 | $31.62 | $37.15 | |
United
| Facility | $2.51 | $17.38 | $31.62 | |
United
| Professional | $15.14 | $22.91 | $41.69 |