| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.28 | $71.28 | $111.46 | |
BCBS
| Facility | $124.31 | $124.31 | $124.31 | |
BCBS
| Professional | $124.31 | $124.31 | $124.31 | |
Cigna
| Facility | $104.21 | $104.21 | $151.00 | |
Cigna
| Professional | $76.06 | $76.06 | $126.49 | |
United
| Professional | $57.40 | $63.50 | $70.50 |