| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.15 | $108.15 | $169.10 | |
BCBS
| Facility | $188.59 | $188.59 | $188.59 | |
BCBS
| Professional | $188.59 | $188.59 | $188.59 | |
Cigna
| Facility | $120.81 | $120.81 | $209.12 | |
Cigna
| Professional | $88.19 | $88.19 | $120.81 | |
United
| Professional | $80.14 | $85.13 | $94.52 |