| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.27 | $94.27 | $94.27 | |
BCBS
| Facility | $58.00 | $58.00 | $111.94 | |
BCBS
| Professional | $34.45 | $54.04 | $74.09 | |
Cigna
| Professional | $38.54 | $38.54 | $38.54 | |
United
| Professional | $105.00 | $131.00 | $201.00 |