| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.18 | $51.11 | $79.92 | |
BCBS
| Facility | $89.13 | $89.13 | $89.13 | |
BCBS
| Professional | $89.13 | $89.13 | $89.13 | |
Cigna
| Facility | $42.77 | $42.77 | $75.30 | |
Cigna
| Professional | $31.22 | $31.22 | $42.77 | |
United
| Facility | $25.78 | $33.85 | $33.85 | |
United
| Professional | $30.86 | $34.15 | $37.90 |