| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.11 | $97.11 | $151.85 | |
BCBS
| Facility | $169.35 | $169.35 | $169.35 | |
BCBS
| Professional | $169.35 | $169.35 | $169.35 | |
Cigna
| Facility | $144.01 | $144.01 | $190.75 | |
Cigna
| Professional | $105.13 | $105.13 | $144.00 | |
United
| Professional | $78.19 | $86.51 | $96.05 |