| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.44 | $72.44 | $72.44 | |
BCBS
| Facility | $83.18 | $83.18 | $151.36 | |
Cigna
| Facility | $93.33 | $93.33 | $93.33 | |
Cigna
| Professional | $72.44 | $72.44 | $72.44 | |
United
| Professional | $74.13 | $77.62 | $77.62 |