| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.71 | $110.46 | $133.09 | |
BCBS
| Facility | $148.43 | $148.43 | $148.43 | |
BCBS
| Professional | $148.43 | $148.43 | $148.43 | |
Cigna
| Professional | $62.01 | $62.01 | $121.50 | |
United
| Professional | $64.45 | $64.45 | $68.95 |