| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $25.12 | $25.12 | $25.12 | |
Cigna
| Facility | $60.26 | $83.18 | $199.53 | |
Cigna
| Professional | $25.12 | $29.51 | $31.62 | |
United
| Facility | $12.59 | $25.12 | $36.31 | |
United
| Professional | $10.47 | $15.14 | $25.12 |