| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.33 | $60.33 | $94.34 | |
BCBS
| Facility | $105.21 | $105.21 | $105.21 | |
BCBS
| Professional | $105.21 | $105.21 | $105.21 | |
Cigna
| Facility | $75.80 | $75.80 | $121.91 | |
Cigna
| Professional | $55.33 | $55.33 | $75.80 | |
United
| Professional | $48.58 | $53.75 | $59.68 |