| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.23 | $101.35 | $147.11 | |
BCBS
| Professional | $153.46 | $153.46 | $153.46 | |
Cigna
| Facility | $115.51 | $115.51 | $151.61 | |
Cigna
| Professional | $115.51 | $115.51 | $205.50 | |
United
| Professional | $57.82 | $100.90 | $179.93 |