| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.17 | $78.17 | $136.88 | |
BCBS
| Facility | $152.66 | $152.66 | $152.66 | |
BCBS
| Professional | $152.66 | $152.66 | $152.66 | |
Cigna
| Facility | $100.03 | $100.03 | $169.28 | |
Cigna
| Professional | $73.02 | $73.02 | $100.03 | |
United
| Professional | $62.28 | $91.89 | $106.19 |