| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $81.28 | $128.82 | |
BCBS
| Professional | $107.15 | $107.15 | $107.15 | |
Cigna
| Facility | $89.13 | $89.13 | $257.04 | |
Cigna
| Professional | $64.57 | $64.57 | $194.98 | |
United
| Facility | $47.86 | $81.28 | $190.55 | |
United
| Professional | $46.77 | $66.07 | $104.71 |