| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.27 | $29.27 | $51.26 | |
BCBS
| Facility | $57.17 | $57.17 | $57.17 | |
BCBS
| Professional | $57.17 | $57.17 | $57.17 | |
Cigna
| Facility | $37.25 | $37.25 | $64.39 | |
Cigna
| Professional | $27.19 | $27.19 | $37.25 | |
United
| Professional | $26.40 | $38.94 | $45.01 |