| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.08 | $49.08 | $111.01 | |
BCBS
| Facility | $85.10 | $85.10 | $85.10 | |
BCBS
| Professional | $85.10 | $85.10 | $85.10 | |
Cigna
| Facility | $52.17 | $52.17 | $190.12 | |
Cigna
| Professional | $38.08 | $38.08 | $52.17 | |
United
| Professional | $94.18 | $95.03 | $109.88 |