| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.46 | $29.46 | $51.58 | |
BCBS
| Facility | $57.53 | $57.53 | $57.53 | |
BCBS
| Professional | $57.53 | $57.53 | $57.53 | |
Cigna
| Facility | $37.36 | $37.36 | $70.33 | |
Cigna
| Professional | $27.27 | $27.27 | $37.36 | |
United
| Professional | $26.05 | $28.82 | $44.41 |