| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.53 | $54.53 | $85.27 | |
BCBS
| Facility | $95.10 | $95.10 | $95.10 | |
BCBS
| Professional | $95.10 | $95.10 | $95.10 | |
Cigna
| Facility | $83.99 | $83.99 | $107.12 | |
Cigna
| Professional | $61.31 | $61.31 | $83.99 | |
United
| Professional | $43.91 | $48.58 | $74.34 |