| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.99 | $124.13 | $136.65 | |
BCBS
| Facility | $472.55 | $597.02 | $693.04 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $1,205.91 | $1,205.91 | $1,205.91 | |
United
| Professional | $79.55 | $133.68 | $174.92 |