| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.43 | $101.16 | $158.18 | |
BCBS
| Facility | $176.41 | $176.41 | $176.41 | |
BCBS
| Professional | $176.41 | $176.41 | $176.41 | |
Cigna
| Facility | $86.88 | $86.88 | $149.04 | |
Cigna
| Professional | $63.42 | $63.42 | $86.88 | |
United
| Professional | $61.09 | $67.59 | $75.04 |