| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.70 | $34.70 | $54.27 | |
BCBS
| Facility | $60.52 | $60.52 | $60.52 | |
BCBS
| Professional | $60.52 | $60.52 | $60.52 | |
Cigna
| Facility | $34.22 | $34.22 | $67.09 | |
Cigna
| Professional | $24.98 | $24.98 | $34.22 | |
United
| Professional | $24.70 | $27.32 | $30.34 |