| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.98 | $36.31 | $97.72 | |
BCBS
| Facility | $331.13 | $331.13 | $331.13 | |
Cigna
| Facility | $346.74 | $346.74 | $346.74 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
United
| Professional | $72.44 | $102.33 | $102.33 |