| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.97 | $87.97 | $173.08 | |
BCBS
| Professional | $170.82 | $170.82 | $170.82 | |
Cigna
| Facility | $123.59 | $123.59 | $286.85 | |
Cigna
| Professional | $123.59 | $123.59 | $123.59 | |
United
| Professional | $95.59 | $141.16 | $235.28 |