| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.46 | $29.46 | $51.90 | |
BCBS
| Professional | $57.20 | $57.20 | $57.20 | |
Cigna
| Facility | $38.63 | $38.63 | $66.89 | |
Cigna
| Professional | $38.63 | $38.63 | $38.63 | |
United
| Professional | $26.57 | $29.42 | $47.23 |