| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.24 | $84.24 | $131.72 | |
BCBS
| Facility | $146.90 | $146.90 | $146.90 | |
BCBS
| Professional | $146.90 | $146.90 | $146.90 | |
Cigna
| Facility | $89.65 | $89.65 | $152.46 | |
Cigna
| Professional | $65.44 | $65.44 | $89.65 | |
United
| Professional | $62.49 | $69.14 | $76.76 |