| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.70 | $86.70 | $165.70 | |
BCBS
| Professional | $168.30 | $168.30 | $168.30 | |
Cigna
| Facility | $129.12 | $129.12 | $167.30 | |
Cigna
| Professional | $129.12 | $129.12 | $129.12 | |
United
| Professional | $80.33 | $108.27 | $180.45 |