| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.06 | $72.06 | $126.22 | |
BCBS
| Facility | $140.76 | $140.76 | $140.76 | |
BCBS
| Professional | $140.76 | $140.76 | $140.76 | |
Cigna
| Facility | $90.07 | $90.07 | $158.55 | |
Cigna
| Professional | $65.75 | $65.75 | $90.07 | |
United
| Professional | $64.98 | $71.91 | $144.13 |