| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.72 | $57.72 | $103.39 | |
BCBS
| Professional | $112.07 | $112.07 | $112.07 | |
Cigna
| Facility | $73.97 | $73.97 | $139.50 | |
Cigna
| Professional | $73.97 | $73.97 | $73.97 | |
United
| Professional | $47.76 | $56.44 | $84.88 |