| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.99 | $59.18 | $59.84 | |
BCBS
| Professional | $72.95 | $72.95 | $72.95 | |
Cigna
| Facility | $48.02 | $48.02 | $48.02 | |
Cigna
| Professional | $48.02 | $48.02 | $82.13 | |
United
| Professional | $24.02 | $37.70 | $64.75 |