| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $12.02 | |
BCBS
| Facility | $501.19 | $616.60 | $831.76 | |
BCBS
| Professional | $33.11 | $33.11 | $33.11 | |
Cigna
| Facility | $33.88 | $33.88 | $33.88 | |
Cigna
| Professional | $20.89 | $33.88 | $40.74 | |
United
| Facility | $10.72 | $10.72 | $10.72 | |
United
| Professional | $10.72 | $10.72 | $10.72 |