| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.89 | $82.89 | $129.61 | |
BCBS
| Facility | $144.55 | $144.55 | $144.55 | |
BCBS
| Professional | $144.55 | $144.55 | $144.55 | |
Cigna
| Facility | $81.70 | $81.70 | $160.19 | |
Cigna
| Professional | $59.64 | $59.64 | $81.70 | |
United
| Professional | $58.95 | $65.23 | $72.42 |