| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.00 | $40.00 | $70.05 | |
BCBS
| Facility | $78.12 | $78.12 | $78.12 | |
BCBS
| Professional | $78.12 | $78.12 | $78.12 | |
Cigna
| Facility | $51.74 | $51.74 | $87.99 | |
Cigna
| Professional | $37.77 | $37.77 | $79.56 | |
United
| Professional | $36.07 | $39.90 | $61.50 |