| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.67 | $51.63 | $98.38 | |
BCBS
| Professional | $100.25 | $100.25 | $100.25 | |
Cigna
| Facility | $66.45 | $66.45 | $139.28 | |
Cigna
| Professional | $66.45 | $66.45 | $66.45 | |
United
| Professional | $51.86 | $63.94 | $106.56 |