| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.73 | $58.73 | $102.84 | |
BCBS
| Facility | $114.69 | $114.69 | $114.69 | |
BCBS
| Professional | $114.69 | $114.69 | $114.69 | |
Cigna
| Facility | $97.44 | $97.44 | $131.68 | |
Cigna
| Professional | $71.13 | $71.13 | $97.44 | |
United
| Professional | $52.96 | $58.60 | $90.29 |