| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.30 | $40.00 | $51.84 | |
BCBS
| Facility | $52.60 | $52.60 | $52.60 | |
BCBS
| Professional | $52.60 | $52.60 | $52.60 | |
Cigna
| Facility | $44.42 | $44.42 | $65.08 | |
Cigna
| Professional | $37.76 | $44.42 | $52.54 | |
United
| Professional | $19.28 | $33.02 | $64.80 |