| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.79 | $28.84 | $37.02 | |
BCBS
| Facility | $40.54 | $40.54 | $40.54 | |
BCBS
| Professional | $40.54 | $40.54 | $40.54 | |
Cigna
| Facility | $30.64 | $30.64 | $46.47 | |
Cigna
| Professional | $26.04 | $26.04 | $36.38 | |
United
| Professional | $15.17 | $23.59 | $43.43 |