| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $112.20 | $186.21 | |
BCBS
| Facility | $208.93 | $208.93 | $208.93 | |
BCBS
| Professional | $208.93 | $208.93 | $208.93 | |
Cigna
| Facility | $125.89 | $125.89 | $275.42 | |
Cigna
| Professional | $91.20 | $91.20 | $199.53 | |
United
| Facility | $75.86 | $100.00 | $169.82 | |
United
| Professional | $91.20 | $100.00 | $151.36 |