| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.13 | $108.13 | $236.87 | |
BCBS
| Facility | $187.47 | $187.47 | $187.47 | |
BCBS
| Professional | $187.47 | $187.47 | $187.47 | |
Cigna
| Facility | $312.30 | $312.30 | $403.60 | |
Cigna
| Professional | $227.98 | $227.98 | $312.30 | |
United
| Professional | $197.66 | $209.99 | $233.13 |