| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.51 | $55.51 | $86.81 | |
BCBS
| Facility | $96.81 | $96.81 | $96.81 | |
BCBS
| Professional | $96.81 | $96.81 | $96.81 | |
Cigna
| Facility | $70.48 | $70.48 | $107.38 | |
Cigna
| Professional | $51.45 | $51.45 | $70.48 | |
United
| Professional | $39.50 | $43.71 | $48.52 |