| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $123.03 | $5,754.40 | |
BCBS
| Facility | $100.00 | $100.00 | $100.00 | |
Cigna
| Facility | $100.00 | $100.00 | $114.82 | |
Cigna
| Professional | $123.03 | $123.03 | $123.03 | |
United
| Professional | $123.03 | $128.82 | $190.55 |