| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.63 | $130.63 | $204.27 | |
BCBS
| Facility | $227.81 | $227.81 | $227.81 | |
BCBS
| Professional | $227.81 | $227.81 | $227.81 | |
Cigna
| Facility | $150.11 | $150.11 | $233.95 | |
Cigna
| Professional | $109.58 | $109.58 | $150.11 | |
United
| Professional | $95.90 | $106.10 | $117.80 |