| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.58 | $114.58 | $233.33 | |
BCBS
| Facility | $260.22 | $260.22 | $260.22 | |
BCBS
| Professional | $260.22 | $260.22 | $260.22 | |
Cigna
| Facility | $178.39 | $178.39 | $293.12 | |
Cigna
| Professional | $130.22 | $130.22 | $178.39 | |
United
| Professional | $108.14 | $129.62 | $204.85 |