| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.61 | $53.61 | $83.82 | |
BCBS
| Facility | $93.49 | $93.49 | $93.49 | |
BCBS
| Professional | $93.49 | $93.49 | $93.49 | |
Cigna
| Facility | $62.81 | $62.81 | $105.30 | |
Cigna
| Professional | $45.85 | $45.85 | $62.81 | |
United
| Professional | $43.16 | $47.76 | $53.02 |