| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.56 | $65.56 | $102.51 | |
BCBS
| Facility | $114.33 | $114.33 | $114.33 | |
BCBS
| Professional | $114.33 | $114.33 | $114.33 | |
Cigna
| Facility | $64.66 | $64.66 | $126.74 | |
Cigna
| Professional | $47.20 | $47.20 | $64.66 | |
United
| Professional | $46.66 | $51.62 | $57.31 |