| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.27 | $49.27 | $77.05 | |
BCBS
| Facility | $85.93 | $85.93 | $85.93 | |
BCBS
| Professional | $85.93 | $85.93 | $85.93 | |
Cigna
| Facility | $65.90 | $65.90 | $96.79 | |
Cigna
| Professional | $48.11 | $48.11 | $65.90 | |
United
| Professional | $39.68 | $43.90 | $48.73 |