| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.86 | $133.04 | $176.27 | |
BCBS
| Facility | $203.26 | $203.26 | $203.26 | |
BCBS
| Professional | $203.26 | $203.26 | $203.26 | |
Cigna
| Facility | $123.59 | $123.59 | $209.58 | |
Cigna
| Professional | $105.05 | $123.59 | $155.94 | |
United
| Professional | $63.73 | $112.34 | $280.86 |