| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $56.23 | $102.33 | |
BCBS
| Professional | $109.65 | $109.65 | $109.65 | |
Cigna
| Facility | $72.44 | $72.44 | $144.54 | |
Cigna
| Professional | $72.44 | $72.44 | $72.44 | |
United
| Facility | $4.57 | $43.65 | $77.62 | |
United
| Professional | $48.98 | $56.23 | $87.10 |