| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.55 | $58.55 | $91.55 | |
BCBS
| Facility | $102.10 | $102.10 | $102.10 | |
BCBS
| Professional | $102.10 | $102.10 | $102.10 | |
Cigna
| Facility | $66.37 | $66.37 | $142.29 | |
Cigna
| Professional | $48.45 | $48.45 | $66.37 | |
United
| Professional | $47.14 | $52.16 | $57.90 |