| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.79 | $63.50 | $85.82 | |
BCBS
| Facility | $94.58 | $94.58 | $94.58 | |
BCBS
| Professional | $94.58 | $94.58 | $94.58 | |
Cigna
| Facility | $60.78 | $60.78 | $104.68 | |
Cigna
| Professional | $51.66 | $51.66 | $75.70 | |
United
| Professional | $31.68 | $58.31 | $132.90 |