| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.63 | $29.63 | $51.88 | |
BCBS
| Facility | $57.86 | $57.86 | $57.86 | |
BCBS
| Professional | $57.86 | $57.86 | $57.86 | |
Cigna
| Facility | $37.03 | $37.03 | $65.18 | |
Cigna
| Professional | $27.03 | $27.03 | $37.03 | |
United
| Professional | $26.72 | $39.42 | $45.56 |