| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $134.90 | $489.78 | |
BCBS
| Facility | $112.20 | $144.54 | $169.82 | |
Cigna
| Facility | $169.82 | $169.82 | $169.82 | |
Cigna
| Professional | $131.83 | $131.83 | $131.83 | |
United
| Professional | $117.49 | $125.89 | $141.25 |