| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.90 | $106.90 | $167.16 | |
BCBS
| Facility | $186.43 | $186.43 | $186.43 | |
BCBS
| Professional | $186.43 | $186.43 | $186.43 | |
Cigna
| Facility | $119.29 | $119.29 | $229.90 | |
Cigna
| Professional | $87.08 | $87.08 | $189.41 | |
United
| Professional | $86.08 | $95.24 | $105.74 |