| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.52 | $82.52 | $144.52 | |
BCBS
| Facility | $161.16 | $161.16 | $161.16 | |
BCBS
| Professional | $161.16 | $161.16 | $161.16 | |
Cigna
| Facility | $99.66 | $99.66 | $210.39 | |
Cigna
| Professional | $72.75 | $72.75 | $99.66 | |
United
| Professional | $71.92 | $106.09 | $122.61 |