| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.15 | $43.65 | $87.10 | |
BCBS
| Facility | $87.10 | $87.10 | $87.10 | |
BCBS
| Professional | $87.10 | $87.10 | $87.10 | |
Cigna
| Facility | $50.12 | $50.12 | $100.00 | |
Cigna
| Professional | $36.31 | $36.31 | $79.43 | |
United
| Facility | $30.20 | $38.90 | $72.44 | |
United
| Professional | $35.48 | $39.81 | $60.26 |