| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.04 | $52.04 | $81.36 | |
BCBS
| Facility | $90.74 | $90.74 | $90.74 | |
BCBS
| Professional | $90.74 | $90.74 | $90.74 | |
Cigna
| Facility | $61.54 | $61.54 | $100.64 | |
Cigna
| Professional | $44.92 | $44.92 | $61.54 | |
United
| Professional | $37.04 | $40.98 | $45.49 |