| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.31 | $130.44 | $131.90 | |
BCBS
| Professional | $122.78 | $122.78 | $122.78 | |
Cigna
| Facility | $111.50 | $111.50 | $111.50 | |
Cigna
| Professional | $111.50 | $111.50 | $193.50 | |
United
| Professional | $53.48 | $83.09 | $132.43 |