| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.41 | $112.41 | $175.77 | |
BCBS
| Facility | $196.03 | $196.03 | $196.03 | |
BCBS
| Professional | $196.03 | $196.03 | $196.03 | |
Cigna
| Facility | $112.67 | $112.67 | $213.42 | |
Cigna
| Professional | $82.25 | $82.25 | $112.67 | |
United
| Professional | $81.30 | $89.95 | $99.86 |