| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.55 | $190.55 | $512.86 | |
BCBS
| Facility | $138.04 | $144.54 | $162.18 | |
Cigna
| Facility | $239.88 | $239.88 | $239.88 | |
Cigna
| Professional | $190.55 | $190.55 | $190.55 | |
United
| Professional | $169.82 | $173.78 | $204.17 |