| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.40 | $50.36 | $78.75 | |
BCBS
| Facility | $87.83 | $87.83 | $87.83 | |
BCBS
| Professional | $87.83 | $87.83 | $87.83 | |
Cigna
| Facility | $58.00 | $58.00 | $104.40 | |
Cigna
| Professional | $42.34 | $42.34 | $58.00 | |
United
| Professional | $40.54 | $44.87 | $49.81 |