| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.88 | $45.88 | $80.34 | |
BCBS
| Facility | $89.61 | $89.61 | $89.61 | |
BCBS
| Professional | $89.61 | $89.61 | $89.61 | |
Cigna
| Facility | $50.66 | $50.66 | $99.37 | |
Cigna
| Professional | $36.97 | $36.97 | $50.66 | |
United
| Professional | $36.54 | $40.45 | $62.32 |