| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.94 | $51.94 | $110.39 | |
BCBS
| Facility | $90.05 | $90.05 | $90.05 | |
BCBS
| Professional | $90.05 | $90.05 | $90.05 | |
Cigna
| Facility | $133.72 | $133.72 | $198.95 | |
Cigna
| Professional | $97.62 | $97.62 | $133.72 | |
United
| Professional | $88.28 | $97.68 | $109.97 |