| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.57 | $38.57 | $60.32 | |
BCBS
| Facility | $67.27 | $67.27 | $67.27 | |
BCBS
| Professional | $67.27 | $67.27 | $67.27 | |
Cigna
| Facility | $55.83 | $55.83 | $89.07 | |
Cigna
| Professional | $40.76 | $40.76 | $65.91 | |
United
| Professional | $29.87 | $33.04 | $36.69 |