| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.10 | $89.10 | $139.32 | |
BCBS
| Facility | $155.38 | $155.38 | $155.38 | |
BCBS
| Professional | $155.38 | $155.38 | $155.38 | |
Cigna
| Facility | $88.85 | $88.85 | $172.32 | |
Cigna
| Professional | $64.86 | $64.86 | $88.85 | |
United
| Professional | $63.41 | $70.16 | $77.89 |