| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.63 | $66.63 | $116.69 | |
BCBS
| Facility | $130.13 | $130.13 | $130.13 | |
BCBS
| Professional | $130.13 | $130.13 | $130.13 | |
Cigna
| Facility | $104.66 | $104.66 | $144.29 | |
Cigna
| Professional | $88.96 | $88.96 | $104.66 | |
United
| Professional | $53.11 | $58.76 | $90.54 |