| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.90 | $23.90 | $41.85 | |
BCBS
| Facility | $46.67 | $46.67 | $46.67 | |
BCBS
| Professional | $46.67 | $46.67 | $46.67 | |
Cigna
| Facility | $30.59 | $30.59 | $51.74 | |
Cigna
| Professional | $22.33 | $22.33 | $30.59 | |
United
| Professional | $19.09 | $21.12 | $37.97 |