| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.70 | $75.70 | $118.38 | |
BCBS
| Facility | $132.03 | $132.03 | $132.03 | |
BCBS
| Professional | $132.03 | $132.03 | $132.03 | |
Cigna
| Facility | $112.36 | $112.36 | $183.56 | |
Cigna
| Professional | $82.02 | $82.02 | $112.36 | |
United
| Professional | $60.96 | $67.45 | $74.88 |