| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.08 | $129.27 | $350.88 | |
BCBS
| Facility | $179.56 | $179.56 | $179.56 | |
BCBS
| Professional | $179.56 | $179.56 | $179.56 | |
Cigna
| Facility | $130.68 | $130.68 | $203.75 | |
Cigna
| Professional | $111.08 | $130.68 | $171.51 | |
United
| Professional | $64.42 | $112.74 | $258.54 |