| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.88 | $62.88 | $114.34 | |
BCBS
| Professional | $122.09 | $122.09 | $122.09 | |
Cigna
| Facility | $45.00 | $45.00 | $160.94 | |
Cigna
| Professional | $45.00 | $45.00 | $45.00 | |
United
| Professional | $54.86 | $63.64 | $97.50 |