| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.84 | $60.45 | $188.00 | |
BCBS
| Facility | $85.26 | $85.26 | $85.26 | |
BCBS
| Professional | $85.26 | $85.26 | $85.26 | |
Cigna
| Facility | $60.46 | $60.46 | $94.82 | |
Cigna
| Professional | $51.39 | $60.46 | $80.95 | |
United
| Professional | $31.17 | $48.39 | $112.83 |