| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.70 | $125.70 | $228.05 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Facility | $210.68 | $210.68 | $210.68 | |
Cigna
| Professional | $153.80 | $153.80 | $210.68 | |
United
| Professional | $134.59 | $142.69 | $191.85 |