| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.17 | $81.76 | $103.60 | |
BCBS
| Facility | $114.99 | $114.99 | $114.99 | |
BCBS
| Professional | $114.99 | $114.99 | $114.99 | |
Cigna
| Facility | $45.00 | $45.00 | $130.04 | |
Cigna
| Professional | $38.25 | $45.00 | $100.67 | |
United
| Professional | $42.43 | $66.01 | $125.03 |