| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.32 | $23.32 | $52.74 | |
BCBS
| Facility | $40.44 | $40.44 | $40.44 | |
BCBS
| Professional | $40.44 | $40.44 | $40.44 | |
Cigna
| Facility | $57.67 | $57.67 | $90.22 | |
Cigna
| Professional | $42.10 | $42.10 | $42.10 | |
United
| Professional | $40.72 | $45.05 | $50.02 |