| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $39.81 | $52.48 | |
BCBS
| Facility | $52.48 | $52.48 | $52.48 | |
BCBS
| Professional | $52.48 | $52.48 | $52.48 | |
Cigna
| Facility | $44.67 | $44.67 | $46.77 | |
Cigna
| Professional | $38.02 | $44.67 | $52.48 | |
United
| Facility | $3.24 | $23.44 | $41.69 | |
United
| Professional | $19.50 | $33.11 | $67.61 |