| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.63 | $193.25 | $232.83 | |
BCBS
| Facility | $259.67 | $259.67 | $259.67 | |
BCBS
| Professional | $259.67 | $259.67 | $259.67 | |
Cigna
| Professional | $135.78 | $135.78 | $224.36 | |
United
| Professional | $101.91 | $112.76 | $132.65 |