| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.10 | $25.10 | $43.95 | |
BCBS
| Facility | $49.02 | $49.02 | $49.02 | |
BCBS
| Professional | $49.02 | $49.02 | $49.02 | |
Cigna
| Facility | $34.77 | $34.77 | $55.35 | |
Cigna
| Professional | $25.38 | $25.38 | $49.93 | |
United
| Professional | $22.63 | $33.39 | $38.59 |