| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.29 | $103.56 | $161.93 | |
BCBS
| Facility | $180.60 | $180.60 | $180.60 | |
BCBS
| Professional | $180.60 | $180.60 | $180.60 | |
Cigna
| Facility | $86.66 | $86.66 | $184.43 | |
Cigna
| Professional | $63.26 | $63.26 | $86.66 | |
United
| Professional | $62.54 | $69.19 | $76.81 |