| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.70 | $53.70 | $83.97 | |
BCBS
| Facility | $93.65 | $93.65 | $93.65 | |
BCBS
| Professional | $93.65 | $93.65 | $93.65 | |
Cigna
| Facility | $59.92 | $59.92 | $107.70 | |
Cigna
| Professional | $43.74 | $43.74 | $95.20 | |
United
| Professional | $43.24 | $47.84 | $53.12 |