| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.97 | $131.63 | $205.82 | |
BCBS
| Facility | $229.55 | $229.55 | $229.55 | |
BCBS
| Professional | $229.55 | $229.55 | $229.55 | |
Cigna
| Facility | $110.16 | $110.16 | $217.32 | |
Cigna
| Professional | $80.42 | $80.42 | $110.16 | |
United
| Professional | $79.48 | $87.95 | $97.64 |