| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.38 | $72.38 | $128.88 | |
BCBS
| Professional | $140.54 | $140.54 | $140.54 | |
Cigna
| Facility | $93.52 | $93.52 | $173.94 | |
Cigna
| Professional | $93.52 | $93.52 | $93.52 | |
United
| Professional | $57.60 | $68.06 | $102.37 |