| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.07 | $50.16 | $78.44 | |
BCBS
| Facility | $87.48 | $87.48 | $87.48 | |
BCBS
| Professional | $87.48 | $87.48 | $87.48 | |
Cigna
| Facility | $43.58 | $43.58 | $102.30 | |
Cigna
| Professional | $31.81 | $31.81 | $43.58 | |
United
| Professional | $31.45 | $34.79 | $38.63 |