| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.88 | $52.44 | $65.86 | |
BCBS
| Facility | $68.23 | $68.23 | $68.23 | |
BCBS
| Professional | $68.23 | $68.23 | $68.23 | |
Cigna
| Facility | $54.52 | $54.52 | $82.67 | |
Cigna
| Professional | $46.34 | $54.52 | $65.30 | |
United
| Professional | $27.84 | $48.71 | $104.88 |