| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.65 | $51.65 | $90.45 | |
BCBS
| Facility | $100.88 | $100.88 | $100.88 | |
BCBS
| Professional | $100.88 | $100.88 | $100.88 | |
Cigna
| Facility | $111.82 | $111.82 | $111.82 | |
Cigna
| Professional | $43.91 | $43.91 | $90.87 | |
United
| Professional | $41.25 | $45.64 | $50.67 |