| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.22 | $73.41 | $92.19 | |
BCBS
| Facility | $102.55 | $102.55 | $102.55 | |
BCBS
| Professional | $102.55 | $102.55 | $102.55 | |
Cigna
| Facility | $74.67 | $74.67 | $115.70 | |
Cigna
| Professional | $63.47 | $74.67 | $88.56 | |
United
| Professional | $37.78 | $58.73 | $114.36 |