| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.46 | $89.46 | $139.88 | |
BCBS
| Facility | $156.01 | $156.01 | $156.01 | |
BCBS
| Professional | $156.01 | $156.01 | $156.01 | |
Cigna
| Facility | $96.73 | $96.73 | $164.49 | |
Cigna
| Professional | $70.61 | $70.61 | $96.73 | |
United
| Professional | $65.87 | $72.88 | $80.91 |