| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.28 | $117.28 | $183.39 | |
BCBS
| Facility | $204.52 | $204.52 | $204.52 | |
BCBS
| Professional | $204.52 | $204.52 | $204.52 | |
Cigna
| Facility | $110.15 | $110.15 | $204.01 | |
Cigna
| Professional | $80.41 | $80.41 | $110.14 | |
United
| Professional | $79.48 | $87.94 | $132.46 |