| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.49 | $32.97 | $42.33 | |
BCBS
| Facility | $43.97 | $43.97 | $43.97 | |
BCBS
| Professional | $43.97 | $43.97 | $43.97 | |
Cigna
| Facility | $35.11 | $35.11 | $53.14 | |
Cigna
| Professional | $29.84 | $35.11 | $41.86 | |
United
| Professional | $17.89 | $31.31 | $67.41 |