| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.70 | $42.70 | $66.77 | |
BCBS
| Facility | $74.45 | $74.45 | $74.45 | |
BCBS
| Professional | $74.45 | $74.45 | $74.45 | |
Cigna
| Facility | $54.11 | $54.11 | $83.88 | |
Cigna
| Professional | $39.50 | $39.50 | $54.11 | |
United
| Professional | $34.38 | $38.04 | $42.23 |