| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.53 | $80.53 | $80.53 | |
BCBS
| Facility | $75.79 | $75.79 | $83.37 | |
Cigna
| Facility | $80.53 | $83.69 | $83.69 | |
Cigna
| Professional | $80.53 | $80.53 | $83.69 | |
United
| Professional | $85.27 | $94.74 | $121.27 |