| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.33 | $100.33 | $156.88 | |
BCBS
| Facility | $174.96 | $174.96 | $174.96 | |
BCBS
| Professional | $174.96 | $174.96 | $174.96 | |
Cigna
| Facility | $111.95 | $111.95 | $216.74 | |
Cigna
| Professional | $81.72 | $81.72 | $111.94 | |
United
| Professional | $80.78 | $89.38 | $99.23 |