| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $177.83 | $234.42 | $309.03 | |
BCBS
| Professional | $257.04 | $257.04 | $257.04 | |
Cigna
| Facility | $204.17 | $204.17 | $275.42 | |
Cigna
| Professional | $173.78 | $204.17 | $275.42 | |
United
| Facility | $18.62 | $138.04 | $186.21 | |
United
| Professional | $104.71 | $218.78 | $363.08 |