| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.70 | $27.70 | $43.31 | |
BCBS
| Facility | $48.30 | $48.30 | $48.30 | |
BCBS
| Professional | $48.30 | $48.30 | $48.30 | |
Cigna
| Facility | $30.91 | $30.91 | $64.04 | |
Cigna
| Professional | $22.56 | $22.56 | $30.91 | |
United
| Professional | $22.30 | $24.67 | $27.39 |