| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.22 | $32.17 | $41.40 | |
BCBS
| Facility | $46.70 | $46.70 | $46.70 | |
BCBS
| Professional | $46.70 | $46.70 | $46.70 | |
Cigna
| Facility | $33.36 | $33.36 | $51.96 | |
Cigna
| Professional | $28.36 | $33.36 | $39.20 | |
United
| Professional | $16.98 | $29.77 | $61.66 |