| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.93 | $102.93 | $160.94 | |
BCBS
| Facility | $179.50 | $179.50 | $179.50 | |
BCBS
| Professional | $179.50 | $179.50 | $179.50 | |
Cigna
| Facility | $126.23 | $126.23 | $202.18 | |
Cigna
| Professional | $92.15 | $92.15 | $126.23 | |
United
| Professional | $82.88 | $91.70 | $101.80 |