| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.22 | $90.22 | $141.07 | |
BCBS
| Facility | $157.33 | $157.33 | $157.33 | |
BCBS
| Professional | $157.33 | $157.33 | $157.33 | |
Cigna
| Facility | $88.96 | $88.96 | $174.44 | |
Cigna
| Professional | $64.94 | $64.94 | $88.96 | |
United
| Professional | $64.19 | $71.02 | $78.84 |