| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $50.12 | $91.20 | |
BCBS
| Professional | $97.72 | $97.72 | $97.72 | |
Cigna
| Facility | $66.07 | $66.07 | $66.07 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
United
| Facility | $4.57 | $45.71 | $72.44 | |
United
| Professional | $50.12 | $56.23 | $91.20 |