| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.46 | $62.46 | $97.67 | |
BCBS
| Facility | $108.93 | $108.93 | $108.93 | |
BCBS
| Professional | $108.93 | $108.93 | $108.93 | |
Cigna
| Facility | $75.47 | $75.47 | $114.71 | |
Cigna
| Professional | $55.09 | $55.09 | $75.47 | |
United
| Professional | $46.56 | $51.52 | $57.20 |