| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.05 | $133.90 | $142.74 | |
BCBS
| Professional | $148.00 | $148.00 | $148.00 | |
Cigna
| Facility | $64.17 | $64.17 | $64.17 | |
Cigna
| Professional | $13.43 | $64.17 | $202.50 | |
United
| Professional | $48.22 | $80.37 | $154.44 |