| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.99 | $48.99 | $76.59 | |
BCBS
| Facility | $85.43 | $85.43 | $85.43 | |
BCBS
| Professional | $85.43 | $85.43 | $85.43 | |
Cigna
| Facility | $62.81 | $62.81 | $96.23 | |
Cigna
| Professional | $45.85 | $45.85 | $62.81 | |
United
| Professional | $39.44 | $43.64 | $48.45 |