| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.60 | $45.60 | $71.30 | |
BCBS
| Facility | $79.52 | $79.52 | $79.52 | |
BCBS
| Professional | $79.52 | $79.52 | $79.52 | |
Cigna
| Facility | $46.45 | $46.45 | $105.78 | |
Cigna
| Professional | $33.90 | $33.90 | $71.56 | |
United
| Professional | $32.52 | $35.97 | $39.94 |