| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.53 | $38.53 | $67.47 | |
BCBS
| Facility | $75.25 | $75.25 | $75.25 | |
BCBS
| Professional | $75.25 | $75.25 | $75.25 | |
Cigna
| Facility | $43.76 | $43.76 | $83.44 | |
Cigna
| Professional | $37.20 | $37.20 | $67.56 | |
United
| Professional | $30.70 | $45.28 | $52.33 |