| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.26 | $48.26 | $75.45 | |
BCBS
| Facility | $84.16 | $84.16 | $84.16 | |
BCBS
| Professional | $84.16 | $84.16 | $84.16 | |
Cigna
| Facility | $53.85 | $53.85 | $122.18 | |
Cigna
| Professional | $39.31 | $39.31 | $53.85 | |
United
| Professional | $40.47 | $43.00 | $55.42 |