| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.04 | $20.04 | $20.04 | |
BCBS
| Facility | $0.02 | $89.06 | $100.54 | |
BCBS
| Professional | $57.54 | $57.54 | $57.54 | |
Cigna
| Facility | $127.93 | $127.93 | $127.93 | |
United
| Professional | $18.23 | $26.06 | $62.64 |