| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.20 | $67.20 | $121.70 | |
BCBS
| Professional | $130.47 | $130.47 | $130.47 | |
Cigna
| Facility | $88.16 | $88.16 | $167.51 | |
Cigna
| Professional | $88.16 | $88.16 | $88.16 | |
United
| Professional | $65.86 | $71.34 | $117.20 |