| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.95 | $38.95 | $75.55 | |
BCBS
| Facility | $67.54 | $67.54 | $67.54 | |
BCBS
| Professional | $67.54 | $67.54 | $67.54 | |
Cigna
| Facility | $84.97 | $84.97 | $107.92 | |
Cigna
| Professional | $62.03 | $62.03 | $84.97 | |
United
| Professional | $52.10 | $55.35 | $61.45 |