| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.71 | $63.71 | $99.60 | |
BCBS
| Facility | $111.09 | $111.09 | $111.09 | |
BCBS
| Professional | $111.09 | $111.09 | $111.09 | |
Cigna
| Facility | $88.85 | $88.85 | $124.04 | |
Cigna
| Professional | $64.86 | $64.86 | $88.85 | |
United
| Professional | $50.03 | $55.35 | $61.45 |