| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.14 | $62.14 | $62.14 | |
BCBS
| Professional | $77.68 | $96.00 | $199.00 | |
Cigna
| Facility | $124.22 | $124.22 | $124.22 | |
Cigna
| Professional | $71.45 | $71.45 | $89.31 | |
United
| Professional | $26.10 | $26.10 | $62.14 |