| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.64 | $27.64 | $48.40 | |
BCBS
| Facility | $53.98 | $53.98 | $53.98 | |
BCBS
| Professional | $53.98 | $53.98 | $53.98 | |
Cigna
| Facility | $34.54 | $34.54 | $60.80 | |
Cigna
| Professional | $25.21 | $25.21 | $34.54 | |
United
| Professional | $24.92 | $36.77 | $42.50 |