| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.54 | $68.54 | $107.17 | |
BCBS
| Facility | $119.52 | $119.52 | $119.52 | |
BCBS
| Professional | $119.52 | $119.52 | $119.52 | |
Cigna
| Facility | $67.56 | $67.56 | $132.51 | |
Cigna
| Professional | $49.33 | $49.33 | $67.58 | |
United
| Professional | $48.76 | $53.95 | $82.55 |