| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.10 | $158.07 | $172.50 | |
BCBS
| Facility | $20.12 | $39.29 | $45.44 | |
BCBS
| Professional | $17.10 | $20.12 | $20.12 | |
Cigna
| Facility | $147.10 | $147.10 | $147.10 | |
Cigna
| Professional | $107.38 | $125.04 | $147.10 | |
United
| Professional | $12.07 | $17.23 | $32.00 |