| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.27 | $77.27 | $120.82 | |
BCBS
| Facility | $134.74 | $134.74 | $134.74 | |
BCBS
| Professional | $134.74 | $134.74 | $134.74 | |
Cigna
| Facility | $86.21 | $86.21 | $169.10 | |
Cigna
| Professional | $62.93 | $62.93 | $86.21 | |
United
| Professional | $62.21 | $68.83 | $76.42 |