| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.73 | $66.73 | $104.35 | |
BCBS
| Facility | $116.38 | $116.38 | $116.38 | |
BCBS
| Professional | $116.38 | $116.38 | $116.38 | |
Cigna
| Facility | $65.81 | $65.81 | $129.07 | |
Cigna
| Professional | $48.04 | $48.04 | $65.81 | |
United
| Professional | $47.50 | $52.55 | $58.34 |