| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.07 | $83.18 | $162.18 | |
BCBS
| Facility | $165.96 | $165.96 | $165.96 | |
BCBS
| Professional | $165.96 | $165.96 | $165.96 | |
Cigna
| Facility | $97.72 | $97.72 | $173.78 | |
Cigna
| Professional | $70.79 | $70.79 | $144.54 | |
United
| Facility | $54.95 | $95.50 | $134.90 | |
United
| Professional | $66.07 | $72.44 | $112.20 |