| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $20.89 | $25.12 | |
BCBS
| Facility | $199.53 | $245.47 | $331.13 | |
BCBS
| Professional | $27.54 | $27.54 | $27.54 | |
Cigna
| Facility | $28.18 | $28.18 | $28.18 | |
Cigna
| Professional | $28.18 | $28.18 | $83.18 | |
United
| Facility | $21.38 | $21.38 | $22.39 | |
United
| Professional | $21.38 | $21.38 | $21.38 |