| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.13 | $77.68 | $100.68 | |
BCBS
| Facility | $100.40 | $100.40 | $100.40 | |
BCBS
| Professional | $100.40 | $100.40 | $100.40 | |
Cigna
| Facility | $78.94 | $78.94 | $126.38 | |
Cigna
| Professional | $67.09 | $67.09 | $97.75 | |
United
| Professional | $41.66 | $59.28 | $105.27 |