| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $169.82 | $295.12 | |
BCBS
| Professional | $223.87 | $223.87 | $223.87 | |
Cigna
| Facility | $177.83 | $177.83 | $467.74 | |
Cigna
| Professional | $128.82 | $128.82 | $346.74 | |
United
| Facility | $89.13 | $154.88 | $363.08 | |
United
| Professional | $89.13 | $131.83 | $199.53 |