| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.22 | $69.22 | $124.06 | |
BCBS
| Professional | $134.40 | $134.40 | $134.40 | |
Cigna
| Facility | $57.76 | $57.76 | $146.77 | |
Cigna
| Professional | $57.76 | $57.76 | $57.76 | |
United
| Professional | $56.41 | $66.56 | $100.27 |