| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $61.66 | $70.79 | |
BCBS
| Facility | $100.00 | $120.23 | $162.18 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $331.13 | $331.13 | $331.13 | |
United
| Facility | $112.20 | $154.88 | $199.53 | |
United
| Professional | $51.29 | $67.61 | $100.00 |