| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.79 | $73.79 | $73.79 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $69.62 | $93.78 | $93.78 | |
Cigna
| Professional | $93.78 | $93.78 | $93.78 | |
United
| Professional | $0.50 | $75.55 | $98.84 |