| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $173.78 | $204.17 | |
BCBS
| Facility | $416.87 | $489.78 | $676.08 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
United
| Professional | $100.00 | $147.91 | $181.97 |