| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.63 | $49.63 | $100.12 | |
BCBS
| Facility | $86.05 | $86.05 | $86.05 | |
BCBS
| Professional | $86.05 | $86.05 | $86.05 | |
Cigna
| Facility | $76.68 | $76.68 | $146.47 | |
Cigna
| Professional | $55.98 | $55.98 | $76.68 | |
United
| Facility | $54.10 | $71.01 | $71.01 | |
United
| Professional | $64.76 | $71.65 | $79.54 |