| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.50 | $52.50 | $91.93 | |
BCBS
| Facility | $102.53 | $102.53 | $102.53 | |
BCBS
| Professional | $102.53 | $102.53 | $102.53 | |
Cigna
| Facility | $60.21 | $60.21 | $105.99 | |
Cigna
| Professional | $43.95 | $43.95 | $60.21 | |
United
| Professional | $43.45 | $64.09 | $74.06 |