| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.99 | $39.99 | $62.53 | |
BCBS
| Facility | $69.73 | $69.73 | $69.73 | |
BCBS
| Professional | $69.73 | $69.73 | $69.73 | |
Cigna
| Facility | $39.15 | $39.15 | $58.92 | |
Cigna
| Professional | $28.59 | $28.59 | $39.15 | |
United
| Professional | $24.15 | $26.72 | $29.67 |