| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.00 | $72.00 | $72.00 | |
BCBS
| Facility | $253.50 | $281.67 | $375.51 | |
BCBS
| Professional | $113.49 | $116.68 | $124.73 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $38.08 | $52.17 | $52.17 | |
United
| Professional | $78.48 | $125.57 | $173.03 |