| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.81 | $81.73 | $104.52 | |
BCBS
| Facility | $104.24 | $104.24 | $104.24 | |
BCBS
| Professional | $104.24 | $104.24 | $104.24 | |
Cigna
| Facility | $96.42 | $96.42 | $131.21 | |
Cigna
| Professional | $81.96 | $96.42 | $106.80 | |
United
| Professional | $44.38 | $62.07 | $112.77 |