| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.81 | $69.81 | $109.16 | |
BCBS
| Facility | $121.74 | $121.74 | $121.74 | |
BCBS
| Professional | $121.74 | $121.74 | $121.74 | |
Cigna
| Facility | $86.64 | $86.64 | $182.83 | |
Cigna
| Professional | $63.25 | $63.25 | $86.64 | |
United
| Professional | $56.21 | $62.19 | $69.05 |