| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.63 | $65.34 | $99.56 | |
BCBS
| Facility | $85.26 | $85.26 | $85.26 | |
BCBS
| Professional | $85.26 | $85.26 | $85.26 | |
Cigna
| Facility | $64.23 | $64.23 | $94.82 | |
Cigna
| Professional | $54.60 | $54.60 | $71.44 | |
United
| Professional | $31.17 | $48.14 | $104.23 |