| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.55 | $101.55 | $177.83 | |
BCBS
| Professional | $198.33 | $198.33 | $198.33 | |
Cigna
| Facility | $134.41 | $134.41 | $240.72 | |
Cigna
| Professional | $134.41 | $134.41 | $134.41 | |
United
| Professional | $78.65 | $92.80 | $139.79 |