| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.14 | $30.06 | $38.96 | |
BCBS
| Facility | $39.60 | $39.60 | $39.60 | |
BCBS
| Professional | $39.60 | $39.60 | $39.60 | |
Cigna
| Facility | $32.79 | $32.79 | $48.91 | |
Cigna
| Professional | $27.87 | $32.79 | $39.42 | |
United
| Professional | $16.54 | $24.82 | $50.53 |