| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.57 | $35.57 | $55.62 | |
BCBS
| Facility | $62.03 | $62.03 | $62.03 | |
BCBS
| Professional | $62.03 | $62.03 | $62.03 | |
Cigna
| Facility | $35.07 | $35.07 | $68.78 | |
Cigna
| Professional | $25.60 | $25.60 | $35.07 | |
United
| Professional | $25.30 | $28.00 | $31.08 |