| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.85 | $118.85 | $185.84 | |
BCBS
| Facility | $207.26 | $207.26 | $207.26 | |
BCBS
| Professional | $207.26 | $207.26 | $207.26 | |
Cigna
| Facility | $140.54 | $140.54 | $229.83 | |
Cigna
| Professional | $102.59 | $102.59 | $186.08 | |
United
| Professional | $84.56 | $93.57 | $103.88 |