| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $169.82 | $234.42 | |
BCBS
| Facility | $263.03 | $263.03 | $263.03 | |
BCBS
| Professional | $263.03 | $263.03 | $263.03 | |
Cigna
| Facility | $177.83 | $177.83 | $302.00 | |
Cigna
| Professional | $128.82 | $128.82 | $239.88 | |
United
| Facility | $186.21 | $190.55 | $213.80 | |
United
| Professional | $107.15 | $120.23 | $204.17 |