| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.10 | $100.00 | $128.82 | |
BCBS
| Facility | $144.54 | $144.54 | $144.54 | |
BCBS
| Professional | $144.54 | $144.54 | $144.54 | |
Cigna
| Professional | $60.26 | $60.26 | $117.49 | |
United
| Professional | $58.88 | $63.10 | $74.13 |