| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.54 | $76.54 | $134.04 | |
BCBS
| Facility | $149.49 | $149.49 | $149.49 | |
BCBS
| Professional | $149.49 | $149.49 | $149.49 | |
Cigna
| Facility | $98.15 | $98.15 | $165.74 | |
Cigna
| Professional | $71.65 | $71.65 | $98.15 | |
United
| Professional | $60.99 | $67.48 | $121.32 |