| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.88 | $58.88 | $61.66 | |
BCBS
| Facility | $67.61 | $67.61 | $67.61 | |
Cigna
| Facility | $56.23 | $67.61 | $67.61 | |
Cigna
| Professional | $58.88 | $58.88 | $58.88 | |
United
| Professional | $57.54 | $58.88 | $74.13 |