| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.18 | $162.18 | $162.18 | |
BCBS
| Facility | $186.21 | $186.21 | $186.21 | |
Cigna
| Facility | $154.88 | $186.21 | $186.21 | |
Cigna
| Professional | $204.17 | $204.17 | $204.17 | |
United
| Professional | $158.49 | $162.18 | $218.78 |