| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $95.50 | $95.50 | |
BCBS
| Facility | $79.43 | $79.43 | $79.43 | |
Cigna
| Facility | $79.43 | $79.43 | $95.50 | |
Cigna
| Professional | $95.50 | $95.50 | $95.50 | |
United
| Facility | $0.79 | $0.79 | $7.94 | |
United
| Professional | $85.11 | $89.13 | $120.23 |