| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.48 | $84.49 | $84.49 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $92.77 | $92.77 | $92.77 | |
Cigna
| Professional | $92.77 | $92.77 | $92.77 | |
United
| Professional | $82.83 | $82.83 | $130.53 |