| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.78 | $28.78 | $50.40 | |
BCBS
| Facility | $56.21 | $56.21 | $56.21 | |
BCBS
| Professional | $56.21 | $56.21 | $56.21 | |
Cigna
| Facility | $35.97 | $35.97 | $76.45 | |
Cigna
| Professional | $26.26 | $26.26 | $35.97 | |
United
| Professional | $25.96 | $28.72 | $44.25 |