| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.18 | $137.18 | $214.51 | |
BCBS
| Facility | $239.23 | $239.23 | $239.23 | |
BCBS
| Professional | $239.23 | $239.23 | $239.23 | |
Cigna
| Facility | $135.22 | $135.22 | $265.18 | |
Cigna
| Professional | $98.72 | $98.72 | $135.22 | |
United
| Professional | $97.58 | $107.97 | $119.87 |