| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.23 | $112.91 | $145.47 | |
BCBS
| Facility | $162.41 | $162.41 | $162.41 | |
BCBS
| Professional | $162.41 | $162.41 | $162.41 | |
Cigna
| Facility | $115.51 | $115.51 | $182.59 | |
Cigna
| Professional | $98.18 | $115.51 | $151.61 | |
United
| Professional | $57.82 | $101.19 | $215.63 |