| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.22 | $49.22 | $76.95 | |
BCBS
| Facility | $85.83 | $85.83 | $85.83 | |
BCBS
| Professional | $85.83 | $85.83 | $85.83 | |
Cigna
| Facility | $66.78 | $66.78 | $97.74 | |
Cigna
| Professional | $48.75 | $48.75 | $66.78 | |
United
| Professional | $39.63 | $43.85 | $48.68 |