| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.50 | $125.50 | $125.50 | |
BCBS
| Facility | $216.37 | $216.37 | $240.41 | |
Cigna
| Facility | $137.94 | $137.94 | $137.94 | |
Cigna
| Professional | $137.94 | $137.94 | $137.94 | |
United
| Professional | $0.50 | $140.27 | $147.65 |