| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.36 | $129.79 | $129.79 | |
BCBS
| Professional | $162.00 | $200.00 | $200.00 | |
Cigna
| Facility | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $93.43 | $129.55 | $190.18 | |
United
| Professional | $117.89 | $157.19 | $284.89 |