| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.73 | $113.73 | $177.83 | |
BCBS
| Facility | $198.33 | $198.33 | $198.33 | |
BCBS
| Professional | $198.33 | $198.33 | $198.33 | |
Cigna
| Facility | $120.06 | $120.06 | $193.52 | |
Cigna
| Professional | $87.64 | $87.64 | $120.06 | |
United
| Professional | $76.48 | $84.62 | $93.94 |