| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.61 | $81.28 | $104.71 | |
BCBS
| Facility | $114.82 | $114.82 | $114.82 | |
BCBS
| Professional | $114.82 | $114.82 | $114.82 | |
Cigna
| Facility | $44.67 | $44.67 | $44.67 | |
Cigna
| Professional | $38.02 | $44.67 | $100.00 | |
United
| Facility | $6.03 | $44.67 | $93.33 | |
United
| Professional | $42.66 | $69.18 | $128.82 |