| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.87 | $101.51 | $130.44 | |
BCBS
| Facility | $141.63 | $141.63 | $141.63 | |
BCBS
| Professional | $141.63 | $141.63 | $141.63 | |
Cigna
| Facility | $111.50 | $111.50 | $163.72 | |
Cigna
| Professional | $94.78 | $111.50 | $129.57 | |
United
| Professional | $53.48 | $83.28 | $172.53 |