| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.58 | $22.58 | $39.54 | |
BCBS
| Facility | $44.10 | $44.10 | $44.10 | |
BCBS
| Professional | $44.10 | $44.10 | $44.10 | |
Cigna
| Facility | $35.00 | $35.00 | $53.41 | |
Cigna
| Professional | $25.55 | $25.55 | $35.00 | |
United
| Professional | $19.76 | $21.86 | $39.29 |