| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.54 | $141.54 | $141.54 | |
BCBS
| Professional | $176.93 | $225.00 | $465.00 | |
Cigna
| Facility | $290.31 | $290.31 | $290.31 | |
Cigna
| Professional | $40.09 | $119.36 | $149.19 | |
United
| Professional | $40.86 | $61.24 | $107.89 |