| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.20 | $91.24 | $141.33 | |
BCBS
| Professional | $136.46 | $136.46 | $136.46 | |
Cigna
| Facility | $115.90 | $115.90 | $144.38 | |
Cigna
| Professional | $115.90 | $115.90 | $192.00 | |
United
| Professional | $55.60 | $89.04 | $145.38 |