| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.41 | $44.41 | $77.34 | |
BCBS
| Professional | $86.22 | $86.22 | $86.22 | |
Cigna
| Facility | $35.54 | $35.54 | $105.94 | |
Cigna
| Professional | $35.54 | $35.54 | $35.54 | |
United
| Professional | $35.84 | $39.40 | $63.70 |