| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.81 | $73.81 | $115.41 | |
BCBS
| Facility | $128.71 | $128.71 | $128.71 | |
BCBS
| Professional | $128.71 | $128.71 | $128.71 | |
Cigna
| Facility | $75.09 | $75.09 | $132.19 | |
Cigna
| Professional | $54.82 | $54.82 | $75.09 | |
United
| Professional | $54.19 | $59.95 | $66.56 |