| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.10 | $92.10 | $166.40 | |
BCBS
| Professional | $178.80 | $178.80 | $178.80 | |
Cigna
| Facility | $64.17 | $64.17 | $150.72 | |
Cigna
| Professional | $64.17 | $64.17 | $64.17 | |
United
| Professional | $72.31 | $97.30 | $162.16 |