| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.65 | $111.65 | $228.20 | |
BCBS
| Professional | $303.50 | $303.50 | $303.50 | |
Cigna
| Facility | $147.10 | $147.10 | $147.10 | |
Cigna
| Professional | $107.38 | $125.04 | $147.10 | |
United
| Professional | $11.78 | $14.72 | $25.43 |