| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.99 | $28.99 | $52.60 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Facility | $49.68 | $49.68 | $49.68 | |
Cigna
| Professional | $36.27 | $36.27 | $49.68 | |
United
| Professional | $31.04 | $32.92 | $40.15 |