| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.53 | $84.53 | $132.16 | |
BCBS
| Facility | $147.40 | $147.40 | $147.40 | |
BCBS
| Professional | $147.40 | $147.40 | $147.40 | |
Cigna
| Facility | $117.36 | $117.36 | $171.38 | |
Cigna
| Professional | $85.67 | $85.67 | $117.36 | |
United
| Professional | $68.06 | $75.31 | $83.60 |