| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.40 | $108.40 | $204.60 | |
BCBS
| Professional | $210.50 | $210.50 | $210.50 | |
Cigna
| Facility | $123.98 | $123.98 | $202.39 | |
Cigna
| Professional | $123.98 | $123.98 | $123.98 | |
United
| Professional | $97.01 | $130.34 | $217.24 |