| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.79 | $97.79 | $152.91 | |
BCBS
| Facility | $170.54 | $170.54 | $170.54 | |
BCBS
| Professional | $170.54 | $170.54 | $170.54 | |
Cigna
| Facility | $104.24 | $104.24 | $189.02 | |
Cigna
| Professional | $76.09 | $76.09 | $104.24 | |
United
| Professional | $69.56 | $76.97 | $85.46 |