| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.83 | $112.67 | $176.18 | |
BCBS
| Facility | $196.48 | $196.48 | $196.48 | |
BCBS
| Professional | $196.48 | $196.48 | $196.48 | |
Cigna
| Facility | $97.79 | $97.79 | $168.77 | |
Cigna
| Professional | $71.39 | $71.39 | $97.79 | |
United
| Facility | $56.84 | $74.61 | $74.61 | |
United
| Professional | $68.04 | $75.28 | $83.58 |