| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.02 | $101.00 | $2,025.00 | |
BCBS
| Facility | $126.00 | $126.00 | $126.00 | |
BCBS
| Professional | $133.00 | $164.00 | $164.00 | |
Cigna
| Professional | $85.11 | $121.19 | $240.58 | |
United
| Professional | $90.87 | $126.56 | $260.99 |