| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $61.66 | $64.57 | |
BCBS
| Facility | $57.54 | $57.54 | $57.54 | |
Cigna
| Facility | $57.54 | $57.54 | $58.88 | |
Cigna
| Professional | $61.66 | $61.66 | $61.66 | |
United
| Professional | $58.88 | $64.57 | $69.18 |