| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.57 | $105.98 | $139.76 | |
BCBS
| Facility | $154.03 | $154.03 | $154.03 | |
BCBS
| Professional | $154.03 | $154.03 | $154.03 | |
Cigna
| Facility | $115.90 | $115.90 | $175.42 | |
Cigna
| Professional | $98.52 | $115.90 | $144.38 | |
United
| Professional | $55.60 | $97.29 | $222.60 |