| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.03 | $45.03 | $101.82 | |
BCBS
| Facility | $78.06 | $78.06 | $78.06 | |
BCBS
| Professional | $78.06 | $78.06 | $78.06 | |
Cigna
| Facility | $128.79 | $128.79 | $174.15 | |
Cigna
| Professional | $94.02 | $94.02 | $128.79 | |
United
| Professional | $81.88 | $86.98 | $96.57 |