| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.47 | $59.47 | $92.98 | |
BCBS
| Facility | $103.70 | $103.70 | $103.70 | |
BCBS
| Professional | $103.70 | $103.70 | $103.70 | |
Cigna
| Facility | $67.95 | $67.95 | $114.97 | |
Cigna
| Professional | $49.61 | $49.61 | $67.95 | |
United
| Professional | $42.31 | $46.81 | $51.97 |