| 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 | $51.32 | $51.32 | $100.64 | |
Cigna
| Professional | $37.46 | $37.46 | $51.32 | |
United
| Professional | $37.04 | $40.98 | $62.70 |