| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.56 | $104.52 | $105.70 | |
BCBS
| Professional | $90.24 | $90.24 | $90.24 | |
Cigna
| Facility | $57.76 | $57.76 | $57.76 | |
Cigna
| Professional | $57.76 | $57.76 | $154.50 | |
United
| Professional | $44.38 | $66.56 | $106.29 |