| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.10 | $64.57 | $112.20 | |
BCBS
| Professional | $123.03 | $123.03 | $123.03 | |
Cigna
| Facility | $79.43 | $79.43 | $141.25 | |
Cigna
| Professional | $79.43 | $79.43 | $79.43 | |
United
| Facility | $4.07 | $40.74 | $91.20 | |
United
| Professional | $45.71 | $63.10 | $100.00 |