| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.59 | $49.59 | $77.54 | |
BCBS
| Facility | $86.47 | $86.47 | $86.47 | |
BCBS
| Professional | $86.47 | $86.47 | $86.47 | |
Cigna
| Facility | $60.55 | $60.55 | $97.41 | |
Cigna
| Professional | $44.20 | $44.20 | $60.55 | |
United
| Professional | $39.92 | $44.18 | $49.04 |