| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.21 | $38.21 | $77.80 | |
BCBS
| Facility | $86.77 | $86.77 | $86.77 | |
BCBS
| Professional | $86.77 | $86.77 | $86.77 | |
Cigna
| Facility | $59.47 | $59.47 | $97.74 | |
Cigna
| Professional | $43.41 | $43.41 | $59.47 | |
United
| Professional | $36.04 | $43.21 | $68.29 |