| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.32 | $15.32 | $34.64 | |
BCBS
| Facility | $26.56 | $26.56 | $26.56 | |
BCBS
| Professional | $26.56 | $26.56 | $26.56 | |
Cigna
| Facility | $38.15 | $38.15 | $59.25 | |
Cigna
| Professional | $32.43 | $32.43 | $38.15 | |
United
| Professional | $26.74 | $29.59 | $32.95 |