| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.14 | $40.14 | $62.75 | |
BCBS
| Facility | $69.98 | $69.98 | $69.98 | |
BCBS
| Professional | $69.98 | $69.98 | $69.98 | |
Cigna
| Facility | $52.95 | $52.95 | $78.84 | |
Cigna
| Professional | $38.65 | $38.65 | $52.95 | |
United
| Professional | $32.32 | $35.75 | $54.71 |