| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.53 | $93.52 | $119.91 | |
BCBS
| Facility | $136.11 | $136.11 | $136.11 | |
BCBS
| Professional | $136.11 | $136.11 | $136.11 | |
Cigna
| Facility | $100.30 | $100.30 | $150.50 | |
Cigna
| Professional | $85.26 | $100.30 | $114.85 | |
United
| Professional | $50.43 | $83.92 | $173.82 |