| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.24 | $103.86 | $138.71 | |
BCBS
| Professional | $126.69 | $165.66 | $255.02 | |
Cigna
| Facility | $123.59 | $123.59 | $123.59 | |
Cigna
| Professional | $105.05 | $123.59 | $123.59 | |
United
| Professional | $101.25 | $147.71 | $214.19 |