| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.14 | $83.14 | $130.01 | |
BCBS
| Facility | $144.99 | $144.99 | $144.99 | |
BCBS
| Professional | $144.99 | $144.99 | $144.99 | |
Cigna
| Facility | $100.43 | $100.43 | $159.69 | |
Cigna
| Professional | $73.31 | $73.31 | $100.43 | |
United
| Professional | $65.45 | $72.43 | $80.41 |