| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $30.90 | $56.23 | |
BCBS
| Facility | $60.26 | $60.26 | $60.26 | |
BCBS
| Professional | $60.26 | $60.26 | $60.26 | |
Cigna
| Facility | $29.51 | $29.51 | $60.26 | |
Cigna
| Professional | $21.88 | $21.88 | $46.77 | |
United
| Facility | $17.78 | $31.62 | $50.12 | |
United
| Professional | $21.38 | $23.99 | $36.31 |