| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.43 | $51.48 | $80.50 | |
BCBS
| Facility | $89.78 | $89.78 | $89.78 | |
BCBS
| Professional | $89.78 | $89.78 | $89.78 | |
Cigna
| Facility | $54.54 | $54.54 | $103.63 | |
Cigna
| Professional | $39.81 | $39.81 | $54.54 | |
United
| Professional | $34.36 | $38.02 | $42.21 |