| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.88 | $48.88 | $76.44 | |
BCBS
| Facility | $85.24 | $85.24 | $85.24 | |
BCBS
| Professional | $85.24 | $85.24 | $85.24 | |
Cigna
| Facility | $64.62 | $64.62 | $96.02 | |
Cigna
| Professional | $47.17 | $47.17 | $64.62 | |
United
| Professional | $39.36 | $43.55 | $48.35 |