| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.97 | $93.97 | $146.94 | |
BCBS
| Facility | $163.88 | $163.88 | $163.88 | |
BCBS
| Professional | $163.88 | $163.88 | $163.88 | |
Cigna
| Facility | $102.60 | $102.60 | $197.59 | |
Cigna
| Professional | $74.90 | $74.90 | $102.60 | |
United
| Professional | $63.71 | $70.48 | $107.87 |