| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.44 | $83.18 | $131.83 | |
BCBS
| Facility | $147.91 | $147.91 | $147.91 | |
BCBS
| Professional | $147.91 | $147.91 | $147.91 | |
Cigna
| Facility | $131.83 | $131.83 | $177.83 | |
Cigna
| Professional | $97.72 | $97.72 | $151.36 | |
United
| Facility | $57.54 | $74.13 | $120.23 | |
United
| Professional | $67.61 | $75.86 | $114.82 |