| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.22 | $119.22 | $186.41 | |
BCBS
| Facility | $207.90 | $207.90 | $207.90 | |
BCBS
| Professional | $207.90 | $207.90 | $207.90 | |
Cigna
| Facility | $125.61 | $125.61 | $271.76 | |
Cigna
| Professional | $91.70 | $91.70 | $199.73 | |
United
| Professional | $90.64 | $100.29 | $111.34 |