| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.65 | $126.65 | $255.50 | |
BCBS
| Professional | $246.00 | $246.00 | $246.00 | |
Cigna
| Facility | $178.86 | $178.86 | $228.05 | |
Cigna
| Professional | $178.86 | $178.86 | $178.86 | |
United
| Professional | $110.44 | $140.91 | $214.20 |