| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.38 | $113.41 | $114.69 | |
BCBS
| Professional | $108.40 | $108.40 | $108.40 | |
Cigna
| Facility | $93.52 | $93.52 | $122.74 | |
Cigna
| Professional | $93.52 | $93.52 | $172.50 | |
United
| Professional | $45.76 | $72.25 | $108.69 |