| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $128.82 | $134.90 | |
BCBS
| Facility | $147.91 | $147.91 | $147.91 | |
Cigna
| Facility | $123.03 | $147.91 | $147.91 | |
Cigna
| Professional | $128.82 | $128.82 | $128.82 | |
United
| Professional | $123.03 | $128.82 | $134.90 |