| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.38 | $44.38 | $77.72 | |
BCBS
| Facility | $86.68 | $86.68 | $86.68 | |
BCBS
| Professional | $86.68 | $86.68 | $86.68 | |
Cigna
| Facility | $69.70 | $69.70 | $96.14 | |
Cigna
| Professional | $59.25 | $59.25 | $69.70 | |
United
| Professional | $35.36 | $52.18 | $60.30 |