| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.54 | $112.64 | $121.54 | |
BCBS
| Facility | $289.75 | $391.36 | $463.32 | |
BCBS
| Professional | $165.81 | $174.20 | $180.13 | |
Cigna
| Facility | $149.11 | $149.11 | $149.11 | |
Cigna
| Professional | $108.85 | $149.11 | $149.11 | |
United
| Professional | $80.06 | $109.54 | $170.41 |