| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.20 | $69.06 | $83.20 | |
BCBS
| Facility | $92.79 | $92.79 | $92.79 | |
BCBS
| Professional | $92.79 | $92.79 | $92.79 | |
Cigna
| Professional | $38.77 | $38.77 | $75.90 | |
United
| Professional | $40.29 | $40.29 | $43.10 |