| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.67 | $78.67 | $123.01 | |
BCBS
| Facility | $137.19 | $137.19 | $137.19 | |
BCBS
| Professional | $137.19 | $137.19 | $137.19 | |
Cigna
| Facility | $89.11 | $89.11 | $154.54 | |
Cigna
| Professional | $65.05 | $65.05 | $89.11 | |
United
| Professional | $63.34 | $70.09 | $107.25 |