| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.56 | $39.56 | $69.28 | |
BCBS
| Facility | $77.27 | $77.27 | $77.27 | |
BCBS
| Professional | $77.27 | $77.27 | $77.27 | |
Cigna
| Facility | $62.01 | $62.01 | $85.48 | |
Cigna
| Professional | $52.71 | $52.71 | $62.01 | |
United
| Facility | $26.28 | $46.00 | $46.00 | |
United
| Professional | $31.46 | $34.81 | $53.64 |