| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.06 | $53.58 | $64.56 | |
BCBS
| Facility | $72.00 | $72.00 | $72.00 | |
BCBS
| Professional | $72.00 | $72.00 | $72.00 | |
Cigna
| Professional | $30.08 | $30.08 | $58.92 | |
United
| Professional | $31.27 | $31.27 | $33.43 |