| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.55 | $57.55 | $100.77 | |
BCBS
| Facility | $112.39 | $112.39 | $112.39 | |
BCBS
| Professional | $112.39 | $112.39 | $112.39 | |
Cigna
| Facility | $90.38 | $90.38 | $124.62 | |
Cigna
| Professional | $76.81 | $76.81 | $90.38 | |
United
| Professional | $45.86 | $50.74 | $78.18 |