| 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 | $127.07 | $127.07 | $213.42 | |
Cigna
| Professional | $92.76 | $92.76 | $179.09 | |
United
| Professional | $84.67 | $89.95 | $99.86 |