| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.29 | $46.29 | $83.97 | |
BCBS
| Professional | $89.88 | $89.88 | $89.88 | |
Cigna
| Facility | $57.54 | $57.54 | $112.49 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
United
| Professional | $42.50 | $48.72 | $81.20 |