| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $131.83 | $169.82 | |
BCBS
| Facility | $39.81 | $69.18 | $131.83 | |
BCBS
| Professional | $83.18 | $97.72 | $181.97 | |
Cigna
| Facility | $602.56 | $602.56 | $602.56 | |
Cigna
| Professional | $128.82 | $208.93 | $295.12 | |
United
| Professional | $112.20 | $147.91 | $257.04 |