| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.31 | $114.31 | $229.48 | |
BCBS
| Facility | $198.18 | $198.18 | $198.18 | |
BCBS
| Professional | $198.18 | $198.18 | $198.18 | |
Cigna
| Facility | $214.95 | $214.95 | $319.56 | |
Cigna
| Professional | $156.91 | $156.91 | $214.95 | |
United
| Professional | $146.22 | $161.78 | $220.99 |