| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.25 | $128.25 | $228.30 | |
BCBS
| Professional | $249.10 | $249.10 | $249.10 | |
Cigna
| Facility | $174.27 | $174.27 | $243.32 | |
Cigna
| Professional | $174.27 | $174.27 | $174.27 | |
United
| Professional | $101.87 | $120.39 | $181.04 |