| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.47 | $70.76 | $91.61 | |
BCBS
| Facility | $99.67 | $99.67 | $99.67 | |
BCBS
| Professional | $99.67 | $99.67 | $99.67 | |
Cigna
| Facility | $73.97 | $73.97 | $114.98 | |
Cigna
| Professional | $62.87 | $73.97 | $97.09 | |
United
| Professional | $36.93 | $58.36 | $108.85 |