| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $104.71 | $107.15 | |
BCBS
| Facility | $117.49 | $117.49 | $117.49 | |
Cigna
| Facility | $97.72 | $117.49 | $117.49 | |
Cigna
| Professional | $104.71 | $104.71 | $104.71 | |
United
| Professional | $100.00 | $104.71 | $112.20 |