| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.34 | $88.58 | $137.93 | |
BCBS
| Facility | $126.07 | $126.07 | $126.07 | |
BCBS
| Professional | $126.07 | $126.07 | $126.07 | |
Cigna
| Facility | $94.65 | $94.65 | $145.02 | |
Cigna
| Professional | $80.45 | $94.65 | $124.23 | |
United
| Professional | $47.05 | $76.20 | $157.86 |