| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.42 | $121.49 | $158.50 | |
BCBS
| Facility | $168.50 | $168.50 | $168.50 | |
BCBS
| Professional | $168.50 | $168.50 | $168.50 | |
Cigna
| Facility | $83.15 | $83.15 | $185.12 | |
Cigna
| Professional | $60.70 | $83.14 | $158.74 | |
United
| Professional | $64.81 | $99.74 | $180.74 |