| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.42 | $52.42 | $52.42 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $43.50 | $43.50 | $43.50 | |
United
| Professional | $47.66 | $47.66 | $48.15 |