| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.17 | $57.17 | $104.13 | |
BCBS
| Professional | $111.01 | $111.01 | $111.01 | |
Cigna
| Facility | $74.67 | $74.67 | $143.47 | |
Cigna
| Professional | $74.67 | $74.67 | $74.67 | |
United
| Professional | $50.18 | $56.68 | $89.18 |