| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.77 | $51.77 | $80.95 | |
BCBS
| Facility | $90.28 | $90.28 | $90.28 | |
BCBS
| Professional | $90.28 | $90.28 | $90.28 | |
Cigna
| Facility | $56.56 | $56.56 | $98.27 | |
Cigna
| Professional | $41.29 | $41.29 | $56.56 | |
United
| Professional | $37.43 | $41.41 | $63.37 |